| Jeffrey M. Gran, Psy.d., P.a. | |
|
1050 Ne 125th St North Miami FL 33161-5805 | |
| (954) 558-2870 | |
| (954) 893-7829 |
| Full Name | Jeffrey M. Gran, Psy.d., P.a. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1050 Ne 125th St, North Miami, Florida |
| Authorized Official Name and Position | Jeffrey M. Gran (PRESIDENT) |
| Authorized Official Contact | 9548937829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M. Gran, Psy.d., P.a. 420 Sw 70th Ave Pembroke Pines FL 33023-1019 Ph: (954) 893-7829 | Jeffrey M. Gran, Psy.d., P.a. 1050 Ne 125th St North Miami FL 33161-5805 Ph: (954) 558-2870 |
| NPI Number | 1285814566 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285814566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY 5683 (Florida) | Primary |
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