Individual
DR. PETER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 NICOLLET MALL, SUITE 1946, MINNEAPOLIS, MN 55402-2606
(612) 339-1463
(612) 339-2150
Mailing address
825 NICOLLET MALL, SUITE 1946, MINNEAPOLIS, MN 55402-2606
(612) 339-1463
(612) 339-2150
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
LP0809
MN
1041C0700X
Clinical Social Worker
6630
MN
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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