Doctor Name: | DR. JULIA ELIZABETH GRANT |
NPI Number: | 1053349431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 009344-1 |
Business Practice Address: | 3985 Oneida St Suite 105 New Hartford, NY - 134139733 |
Business Phone Number: | 3157367104 |
Business Fax Number: | 3157973401 |
Mailing Address: | 3985 Oneida St, Suite 105 NEW HARTFORD |
State: | NY |
Postal Code: | 134139733 |
Phone Number: | 3157367104 |
Fax Number: | 3157973401 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 009344-1 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |