Grant, Gwendolyn

Grant, Gwendolyn is an individual health care provider with primary practice located at 1434 110Th St Ste 303 , College Point NY 11356-1448. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Grant, Gwendolyn can be contacted via phone (718) 569-5439.

Contact Information

Primary practice address
1434 110Th St Ste 303 College Point NY 11356-1448
Phone: (718) 569-5439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1548836372
LBN Legal business name Grant, Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - about 4 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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