Search › Pennsylvania › Early Intervention Provider Agency
Stacy Grant
NPI 1669834362 · on the registry since 2016 · sole proprietor
Practice
- Address
- 415 S 42nd St
Apt 4
Philadelphia, PA 19104 - Phone
- (570) 977-0646
Registry record
- Primary taxonomy
- Early Intervention Provider Agency
252Y00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-17
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 Pennsylvania