NICKHOLAS GRANT

ORANGE, CT
NPI1336967264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  4836)
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
NICKHOLAS GRANT Ph.D
6222 AVALON DR W
ORANGE, CT 06477-3684
Phone number: 203-701-6047
Mailing Address
NICKHOLAS GRANT Ph.D
2389 MAIN ST STE 100
GLASTONBURY, CT 06033-4617
Phone number: