Healthcare Provider Details

I. General information

NPI: 1295093136
Provider Name (Legal Business Name): PIPER SPURGEON GRANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2012
Last Update Date: 10/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S LAKE AVE SUITE 506
PASADENA CA
91106-3955
US

IV. Provider business mailing address

600 S LAKE AVE SUITE 506
PASADENA CA
91106-3955
US

V. Phone/Fax

Practice location:
  • Phone: 323-546-8737
  • Fax:
Mailing address:
  • Phone: 323-546-8737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: