Individual
DR. JOHN ELWOOD GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1947 DIVISADERO ST, SAN FRANCISCO, CA 94115-2532
(415) 420-5824
Mailing address
PO BOX 170116, SAN FRANCISCO, CA 94117-0116
(808) 349-9548
(415) 358-5604
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19317
CA
Other
Enumeration date
09/30/2006
Last updated
07/09/2007
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