Active NPIIndividual providerSole proprietor

Renae L Grant, PHD

Psychologist in Arlington, Massachusetts

NPI Number1104964741
Practice location
32 Amherst St, Arlington, MA 02474-3409
Fax
—
Last updated
July 8, 2007

Renae Lynn Grant is a Psychologist based in Arlington, MA. Renae Lynn Grant practices in Arlington, MA and has the professional credentials of PHD. The NPI Number for Renae Lynn Grant is 1104964741 and holds a License No. 4048 (MA). The current practice location address for Renae Lynn Grant is 32 Amherst St, Arlington, MA 02474-3409 and can be reached out via phone at 781-646-8450.

Provider Profile Details

NPI Number
1104964741
Provider Name
Renae Lynn Grant
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
32 Amherst St, Arlington, MA 02474-3409
Phone Number
781-646-8450
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Amherst St
Arlington, MA 02474-3409
Zip
02474-3409
Phone Number
781-646-8450
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
32 Amherst St
Arlington, MA 02474-3409
City
Arlington
State
MA
Zip
02474-3409
Phone Number
781-646-8450

License Information

License Number (1)
4048
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
529
License State (2)
NH
Taxonomy (2)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Renae L Grant, PHD?

The NPI number of Renae L Grant, PHD is 1104964741. It was assigned on February 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Renae L Grant, PHD?

Renae L Grant, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 4048.

Where does Renae L Grant, PHD practice?

The practice location is 32 Amherst St, Arlington, MA 02474-3409. The office can be reached at 781-646-8450 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104964741 directly on the NPPES registry website.

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