Individual
DR. BEATRICE ANN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1761 BROADWAY, SUITE 100, VALLEJO, CA 94589-2485
(707) 645-2700
(707) 645-2401
Mailing address
1761 BROADWAY, SUITE 100, VALLEJO, CA 94589-2485
(707) 645-2700
(707) 645-2401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20532
CA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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