NPI 1033524913

Grant Loren Iverson, PHD

Practitioner Clinical Neuropsychologist Boston, MA

Practice location

Address: Home Base Program 101 Merrimac Street, 2nd Floor, Boston, MA 02114
Phone: (617) 573-2770

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 9828 (MA)

Other Clinical Neuropsychologist providers in Massachusetts →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 9828 (MA)

Other Psychologist providers in Massachusetts →

Registry record

NPI: 1033524913
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2014
Record last updated: 2 Jul 2014

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.