DR. KOLENE FAYE GRANGER


Address: 1415 N Old Course Rd, Washington, UT 84780-1339
Phone: 4356747075

DR. KOLENE FAYE GRANGER (NPI# 1558515619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558515619
Entity Type Individual
Full Name DR. KOLENE FAYE GRANGER
Credential PHD
Practice Address 1415 N Old Course Rd
Washington
UT 84780-1339
Practice Telephone 4356747075
Mailing Telephone 4356747075
Enumeration Date 2008-11-15
Last Update Date 2008-11-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
112342-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1415 N OLD COURSE RD
City WASHINGTON
State UT
Zip Code 84780-1339

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1275083701 Ryan Garrett Robinson Psychologist 420 Ridge St Nw, Washington, DC 20001-4622 2016-10-07
1922396167 John C. Wright Psychologist 1 Danall Hall Counseling & Psychiatric Service, 37th & O Streets, Nw, Washington, DC 20057-1105 2011-07-20
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1184884223 Kathryn Hodges Camicia Psychologist 1350 Conn. Ave., N.w., Suite 405, Washington, DC 20036 2008-06-12
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Competitor

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City WASHINGTON
Zip Code 84780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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