MEDICARE: CYDNEY GRANT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	E-13179	AR

General Provider Information

NPI Number	:	1164884250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYDNEY GRANT D.O.

Provider Business Mailing Address
First Line	:	PO BOX 251970
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72225-1970
Country	:	US
Telephone Number	:	501-666-8686
Fax Number	:	501-974-7798

Provider Business Practice Location Address
First Line	:	1521 MERRILL DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1821
Country	:	US
Telephone Number	:	501-660-6893
Fax Number	:	501-974-7798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2016
Last Update Date	:	09/30/2020

Similar Medicare Providers

1649856568 — SAMANTHA HULSE NP-C
Practice Location Address:

1521 MERRILL DRIVE , SUITE D240
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-664-3700
Practice Fax: 501-312-0694

1962547745 — INDEPENDENT CASE MANAGEMENT, INC.
Practice Location Address:

1525 MERRILL DRIVE
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-228-0063
Practice Fax: 501-228-0070

1487835674 — MARLYN LIPTON LCSW
Practice Location Address:

1521 MERRILL DRIVE , SUITE D220
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-660-6893
Practice Fax: 501-974-7798

1669719951 — MR. FOY BUTCH GILLIAM JR. LCSW
Practice Location Address:

1521 MERRILL DR STE E200
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-660-6893
Practice Fax: 501-974-7798

1770076358 — JENNIFER HAMMOND LCSW
Practice Location Address:

1521 MERRILL DR STE E200
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-660-6893
Practice Fax: 501-974-7798

1992282560 — MR. KALEB JOHN HATTON LAC
Practice Location Address:

1521 MERRILL DRIVE , SUITE D220
LITTLE ROCK, AR
72211-1821

Practice Phone: 501-660-6893
Practice Fax: 501-954-7798

Directions to “ CYDNEY GRANT D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.