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DR. JAYNE A. GRANDISON ED.D., HSPP

Clinical Neuropsychologist

Yorktown, Indiana

Provider NPI: 1952308033

Provider Information:
DR. JAYNE A. GRANDISON ED.D., HSPP
Gender: F
Sole Proprietor


Practice Location:
7009 W AUGUSTA BLVD  YORKTOWN, IN 47396 US
Tel: 765-759-6160  Fax: 765-759-6160

Business Mailing Address:
7009 W AUGUSTA BLVD  YORKTOWN, IN 47396 US
Tel: 765-759-6160  Fax: 765-759-6160

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IAIN#20040030

Other Provider Identifiers:

IssuerNumberStateType
CIGNA2046272IN01
ANTHEM BC/BS000000179367IN01
CARDINAL CARE2046272IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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