Individual
DR. GRANT SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
Mailing address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26120
CA
Other
Enumeration date
09/13/2010
Last updated
09/18/2022
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