Individual
MR. GRANT RICHARD D'AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6773
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(571) 252-1016
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-91688-Y1F4K7
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000476
—
VA
Enumeration date
04/03/2018
Last updated
10/08/2025
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