Individual
DR. MATTHEW GREGORY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
429 E VERMONT ST, 307, INDIANAPOLIS, IN 46202-3690
(317) 490-8179
Mailing address
429 E VERMONT ST, 307, INDIANAPOLIS, IN 46202-3690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042347A
IN
Other
Enumeration date
07/10/2007
Last updated
07/28/2011
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