National Provider Identifier

Mary Christine Grant, PHD

Mary Christine Grant, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 271-3600.

NPI 1629029434Rochester, NYClinical Psychologist

Profile Overview

NPI
1629029434
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
May 15, 2006
Last Updated
November 04, 2010

Practice Location

  • 1655 Elmwood Ave
  • Ste 135
  • Rochester, NY 14620

Phone: (585) 271-3600

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1629029434
Entity Type
Individual
Last Name
Grant
First Name
Mary
Middle Name
Christine
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
1655 Elmwood Ave
Mailing Address Line 2
Ste 135
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620
Mailing Country
US
Mailing Phone
(585) 271-3600
Mailing Fax
(585) 271-1017
Practice Street Address
1655 Elmwood Ave
Practice Address Line 2
Ste 135
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620
Practice Country
US
Practice Phone
(585) 271-3600
Practice Fax
(585) 271-1017
Enumeration Date
May 15, 2006
Last Updated
November 04, 2010
Sex
Female
Sole Proprietor
Yes
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
100193FC (Preferred Care), P010005619 (Excellus)