IndividualActive
Bruce Grant, PHD
NPI 1457014649 · Professional Counselor · Brooklyn, NY
Provider details
- NPI number
- 1457014649
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9720 Avenue N
Brooklyn, NY 11236-5328
Phone: (347) 656-5002
Approximate (ZIP-level) locationGet directions
Mailing address
9720 Avenue N
Brooklyn, NY 11236-5328
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.