Grad, Jaclyn
Grad, Jaclyn is an individual health care provider with primary practice located at 3851 Roger Brooke Dr Mcheqd, Fort Sam Houston TX 78234-4501. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Grad, Jaclyn can be contacted via phone (210) 916-2460.Contact Information
Primary practice address
3851 Roger Brooke Dr Mcheqd
Fort Sam Houston TX 78234-4501
Phone: (210) 916-2460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001304 | Iowa |
Profile Details
| NPI number | 1972885440 |
|---|---|
| LBN Legal business name | Grad, Jaclyn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Feb 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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