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Organization

T GRANT PHD

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Organization

T GRANT PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS H GRANT PH.D. (CLINICAL PSYCHOLOGIST)
(845) 256-9528
Entity
Organization

Contact information

Practice address
257 MAIN ST, NEW PALTZ, NY 12561-1610
(845) 256-9528
(845) 256-9528
Mailing address
257 MAIN ST, NEW PALTZ, NY 12561-1610
(845) 256-9528
(845) 256-9528

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011779
NY

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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