| Richard D. Grant, Jr., Ph.d., P.c. | |
|
4131 Spicewood Springs Rd D-1 Austin TX 78759-8661 | |
| (512) 338-0795 | |
| Not Available |
| Full Name | Richard D. Grant, Jr., Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4131 Spicewood Springs Rd, Austin, Texas |
| Authorized Official Name and Position | Richard D. Grant (PYSCHOLOGIST) |
| Authorized Official Contact | 5123380795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Grant, Jr., Ph.d., P.c. 4131 Spicewood Springs Rd D-1 Austin TX 78759-8661 Ph: (512) 338-0795 | Richard D. Grant, Jr., Ph.d., P.c. 4131 Spicewood Springs Rd D-1 Austin TX 78759-8661 Ph: (512) 338-0795 |
| NPI Number | 1912005067 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912005067 | NPI | - | NPPES |
| 00PP11 | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 21476 (Texas) | Primary |
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