Individual provider · Type 1 NPI

Jaclyn Grad, PhD

Psychologist · Fort Sam Houston, TX

NPI number 1972885440 Active

Practice location

3851 Roger Brooke Dr, Mcheqd
Fort Sam Houston, TX 78234-4501

Mailing address

PO Box 280148
Jacksonville, FL 32228-0148

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X001304 (IA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1972885440

Jaclyn Grad, PhD's National Provider Identifier is 1972885440, issued on Sep 12, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Feb 19, 2014.