Individual
ROBERT W GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
411 OAK ST, STERLING MEDICAL ASSOCIATES, CINCINNATI, OH 45219-2504
(513) 984-1800
(513) 984-4909
Mailing address
411 OAK ST, STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS, CINCINNATI, OH 45219-2504
(513) 984-1800
(513) 984-4909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00990
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745166
—
IA
Enumeration date
11/01/2006
Last updated
11/18/2008
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