Individual provider · Type 1 NPI

Brian William Grant, PH. D.

Health Service Psychologist · Indianapolis, IN

NPI number 1063574994 Active

Practice location

921 E 86th St
Indianapolis, IN 46240-1859

Call (317) 590-2727 Map

Fax (317) 669-2096

Mailing address

9507 Cadbury Cir
Indianapolis, IN 46260-1000

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X20090164A (IN)
Marriage & Family Therapist 106H00000X35000590A (IN)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1063574994

Brian William Grant, PH. D.'s National Provider Identifier is 1063574994, issued on Dec 15, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 17, 2009.