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Individual

DR. RICHARD K GRANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9240 N MERIDIAN STREET, SUITE 320, INDIANAPOLIS, IN 46260-1822
(317) 844-7489
(317) 581-1007
Mailing address
9240 N MERIDIAN STREET, SUITE 320, INDIANPOLIS, IN 46260-1822
(317) 844-7489
(317) 581-1007

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20090217A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100073360A
IN
Enumeration date
05/17/2006
Last updated
12/15/2009
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