Organization
JEFFREY M GRAN PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M. GRAN PSY.D. (NEUROPSYCHOLOGIST)
(954) 893-7829
Entity
Organization
Contact information
Practice address
4302 W BROWARD BLVD, SUITE 800, PLANTATION, FL 33317-3780
(954) 893-7829
(954) 893-7829
Mailing address
420 SW 70TH AVE, PEMBROKE PINES, FL 33023-1019
(954) 893-7829
(954) 893-7829
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 5683
FL
Other
Enumeration date
09/22/2006
Last updated
11/27/2012
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