Individual
DR. MICHAEL MAXWELL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
74 LODGE TRL, PAWLEYS ISLAND, SC 29585-7935
(843) 655-5745
(843) 314-3784
Mailing address
74 LODGE TRL, PAWLEYS ISLAND, SC 29585-7935
(843) 655-5745
(843) 314-3784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1071
SC
Other
Enumeration date
11/20/2007
Last updated
04/13/2017
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