Grantham, Rachael Kellie

Grantham, Rachael Kellie is an individual health care provider with primary practice located at 1825 E Northern Ave , Phoenix AZ 85020-3940. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Grantham, Rachael Kellie can be contacted via phone (602) 997-2880.

Contact Information

Primary practice address
1825 E Northern Ave Phoenix AZ 85020-3940
Phone: (602) 997-2880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1902335052
LBN Legal business name Grantham, Rachael Kellie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2017
Last updated Jun 11th, 2017 - about 7 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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