Individual
DR. BRIAN WILLIAM GRANT
Active
Individual
DR. BRIAN WILLIAM GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20090164A
IN
106H00000X
Marriage & Family Therapist
35000590A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200456500A
—
IN
Enumeration date
12/15/2006
Last updated
08/17/2009
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