| Jeffrey S Grand, Psyd, Pllc | |
|
101 Old York Rd Ste 202 Jenkintown PA 19046-3911 | |
| (215) 901-8791 | |
| Not Available |
| Full Name | Jeffrey S Grand, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 101 Old York Rd Ste 202, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Jeffrey Grand (OWNER) |
| Authorized Official Contact | 2159018791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Grand, Psyd, Pllc 1372 Warner Rd Jenkintown PA 19046-2536 Ph: (215) 901-8791 | Jeffrey S Grand, Psyd, Pllc 101 Old York Rd Ste 202 Jenkintown PA 19046-3911 Ph: (215) 901-8791 |
| NPI Number | 1346364957 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 9234238023 |
|---|---|
| Medicare Enrollment ID | O20070619000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346364957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015842 (Pennsylvania) | Primary |
| Provider Name | Jeffrey Scott Grand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619953361 PECOS PAC ID: 1153350053 Enrollment ID: I20050811000074 |
| Provider Name | Anthony F Verdi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942489596 PECOS PAC ID: 8628007689 Enrollment ID: I20071127000584 |
| Provider Name | Kelli S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205086188 PECOS PAC ID: 1355400771 Enrollment ID: I20081030000114 |
| Provider Name | Nicholas Stephen Patapis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831366186 PECOS PAC ID: 1052629169 Enrollment ID: I20151008002160 |
| Provider Name | Jeremy Schwarzbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295191294 PECOS PAC ID: 2163726613 Enrollment ID: I20160204000336 |
| Provider Name | Michael Edward Keesler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609228022 PECOS PAC ID: 7517246390 Enrollment ID: I20161118000656 |
| Provider Name | Jennie Brill Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518482058 PECOS PAC ID: 2466703236 Enrollment ID: I20180919000184 |
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