Individual provider · Type 1 NPI

Mitzie L. Grant, PHD.

Clinical Neuropsychologist · Philadelphia, PA

NPI number 1063453439 Active

Practice location

4641 Roosevelt Blvd, Suite C229
Philadelphia, PA 19124-2343

Call (215) 831-4811 Map

Fax (215) 831-2603

Mailing address

1601 Cherry St, Suite 11511
Philadelphia, PA 19102-1321

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPS008501L (PA)

Clinical Neuropsychologist: 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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About NPI 1063453439

Mitzie L. Grant, PHD.'s National Provider Identifier is 1063453439, issued on Jun 9, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 31, 2016.