Individual
DR. W. CHRISTOPHER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
28310 ROADSIDE DR STE 138, AGOURA HILLS, CA 91301-4960
(818) 395-7767
Mailing address
10937 FRUITLAND DR APT 18, STUDIO CITY, CA 91604-3525
(818) 395-7767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY25646
CA
103TC1900X
Counseling Psychologist
Primary
PSY25646
CA
Other
Enumeration date
06/13/2013
Last updated
07/10/2020
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