Grau, Michael John
Grau, Michael John is an sole proprietor health care provider with primary practice located at 1190 Troy Schenectady Rd , Latham NY 12110-1026. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Grau, Michael John can be contacted via phone (518) 469-3110.Contact Information
Primary practice address
1190 Troy Schenectady Rd
Latham NY 12110-1026
Phone: (518) 469-3110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 013600 | New York |
Profile Details
| NPI number | 1881769586 |
|---|---|
| LBN Legal business name | Grau, Michael John |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Sep 11th, 2007 - about 18 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 | 1881769586 | NPPES |
| New York | Other | 11324536 | CAQH |
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