DR. LAURA JEANNE GRANDE PH.D. NPI 1841390200

NPI Information

NPI: 1841390200
Provider Name: DR. LAURA JEANNE GRANDE, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
150 S HUNTINGTON AVE
BOSTON VA HEALTHCARE SYSTEM - GRECC (182)
BOSTON, MA
ZIP 02130
Phone: (857) 364-6810
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DR. Laura Jeanne Grande, PH.D. is a clinical neuropsychologist in Boston, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Laura Jeanne Grande, PH.D. NPI is 1841390200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 S HUNTINGTON AVE
BOSTON VA HEALTHCARE SYSTEM - GRECC (182)
BOSTON, MA
ZIP 02130-817
Phone: (857) 364-6810
Fax: (857) 364-4408

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	8624	MASSACHUSETTS	No
2	103G00000X	Clinical Neuropsychologist		8624	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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