Individual
DR. TOMAS REFUGIO GRANADOS
Active
Individual
DR. TOMAS REFUGIO GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
702
NM
103TC0700X
Clinical Psychologist
702
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201011548
CLINICAL PSYCHOLOGY
NM
01
—
NM00JP49
CLINICAL PSYCHOLOGY
NM
05
—
S8524
—
NM
Enumeration date
05/08/2007
Last updated
07/07/2009
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