Organization
JEFFREY M. GRAN, PSY.D., P.A.
Active
Organization
JEFFREY M. GRAN, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M. GRAN PSY.D. (PRESIDENT)
(954) 893-7829
Entity
Organization
Contact information
Practice address
1050 NE 125TH ST, NORTH MIAMI, FL 33161-5805
(954) 558-2870
(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
11/05/2007
Last updated
11/13/2007
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