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Dr. Mitzie L Grant, PHD
Clinical Neuropsychologist in Philadelphia, Pennsylvania
NPI 1063453439

Mitzie L Grant is a Clinical Neuropsychologist based in Philadelphia, PA. Mitzie L Grant practices in Philadelphia, PA and has the professional credentials of PHD. The NPI Number for Mitzie L Grant is 1063453439 and holds a License No. PS008501L (Pennsylvania).

The current practice location address for Mitzie L Grant is 4641 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-4811 and via fax at 215-831-2603. You can also correspond with Mitzie L Grant through the mailing address at 1601 CHERRY ST, PHILADELPHIA, PA - 19102-1321 (mailing address contact number: 215-255-7822).

Location: 4641 Roosevelt Blvd, Philadelphia, PA, 19102-1321
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Provider Profile Details
NPI Number
1063453439
Provider Name
Mitzie L Grant
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4641 Roosevelt Blvd, Philadelphia, PA, 19102-1321
Phone Number
215-831-4811
Fax Number
215-831-2603
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001685355 05 PA
institution
Provider Business Practice Location Address Details
Address
4641 Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
215-831-4811
Fax Number
215-831-2603
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Provider Business Mailing Address Details
Address
1601 Cherry St
City
State
Zip
19102-1321
Phone Number
215-255-7822
Fax Number
215-255-7825
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
PS008501L (Pennsylvania)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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