Grandison, Jayne A.
Grandison, Jayne A. is an sole proprietor health care provider with primary practice located at 7009 W Augusta Blvd , Yorktown IN 47396-9330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Grandison, Jayne A. can be contacted via phone (765) 759-6160.Contact Information
Primary practice address
7009 W Augusta Blvd
Yorktown IN 47396-9330
Phone: (765) 759-6160
Fax: (765) 759-6160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | IN#20040030 | Iowa |
Profile Details
| NPI number | 1952308033 |
|---|---|
| LBN Legal business name | Grandison, Jayne A. |
| Credentials | ED.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Nov 18th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952308033 | NPPES |
| Indiana | Other | 000000179367 | ANTHEM BC/BS |
| Indiana | Other | 2046272 | ANTHEM BC/BS |
| Indiana | Other | 2046272 | ANTHEM BC/BS |
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