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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IA | IN#20040030 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CIGNA | 2046272 | IN | 01 |
ANTHEM BC/BS | 000000179367 | IN | 01 |
CARDINAL CARE | 2046272 | IN | 01 |
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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