Individual
URSULA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5128
NC
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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