Whalio Doctors

NPI 1225137300

Jeffrey M Gran Psy D PA

Organisation Clinical Neuropsychologist Plantation, FL

Practice location

Address
4302 W Broward Blvd Suite 800, Plantation, FL 33317-3780
Phone
(954) 893-7829
Fax
(954) 893-7829
Mailing address
420 SW 70th Ave, Pembroke Pines, FL 33023-1019

Authorised official

Name
Jeffrey M. Gran
Title
Neuropsychologist
Phone
(954) 893-7829

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY 5683 (FL)

Registry record

NPI
1225137300
Entity type
Organization
NPI issued
22 Sep 2006
Record last updated
27 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.