SearchGeorgia103T00000X

Bruce Grant, PSYD

NPI 1255517884 · on the registry since 2008

Practice

Address
420 Thomaston St
Zebulon, GA 30295
Phone
(404) 960-1282
Organisation at this address
Brain And Body Connections, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
101YA0400X
103T00000X
Licence states on file
GA, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia