| NPI | 1073689840 |
|---|---|
| Other Name | MAC GRANLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 49566692501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 4956669-2501) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2024-10-08 |