Individual
SUSAN S GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
165 E CHESTNUT ST, ASHEVILLE, NC 28801-2339
(828) 273-2044
Mailing address
165 E CHESTNUT ST, ASHEVILLE, NC 28801-2339
(828) 273-2044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NC1568
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137T3
BCBS
NC
Enumeration date
06/14/2006
Last updated
09/18/2008
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