Grant, Thomas H

Grant, Thomas H is an individual health care provider with primary practice located at 257 Main St , New Paltz NY 12561-1610. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grant, Thomas H can be contacted via phone (845) 256-9528.

Contact Information

Primary practice address
257 Main St New Paltz NY 12561-1610
Fax: (845) 256-9528
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011779 New York

Profile Details

NPI number 1437236247
LBN Legal business name Grant, Thomas H
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 3rd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437236247 NPPES
New York MEDICAID 01891625

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