Iverson, Grant Loren

Iverson, Grant Loren is an individual health care provider with primary practice located at Home Base Program 101 Merrimac Street, 2Nd Floor, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Iverson, Grant Loren can be contacted via phone (617) 573-2770.

Contact Information

Primary practice address
Home Base Program 101 Merrimac Street, 2Nd Floor Boston MA 02114
Phone: (617) 573-2770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 9828 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9828 Massachusetts

Profile Details

NPI number 1033524913
LBN Legal business name Iverson, Grant Loren
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Jul 2nd, 2014 - about 11 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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