Dr Dallas L Grant, PHD - Psychologist in Danville, IL

Dr Dallas L Grant, PHD is a Psychologist - Clinical based in Danville, Illinois. Dr Dallas L Grant is licensed to practice in Illinois (license number ) and his current practice location is 112 Sunset Rd, Danville, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 442-1004.

NPI number for Dr Dallas L Grant is 1689783938 and his current mailing address is 112 Sunset Rd, Danville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689783938.

Contact Information

Dr Dallas L Grant, PHD
112 Sunset Rd,
Danville, IL 61834-5900
(217) 442-1004
(217) 442-1004

Map and Direction




Healthcare Provider's Profile

Full NameDr Dallas L Grant
GenderMale
SpecialityPsychologist - Clinical
Location112 Sunset Rd, Danville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689783938
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Dallas L Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689783938NPI-NPPES
0009272003OtherILBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dallas L Grant is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dallas L Grant, PHD
112 Sunset Rd,
Danville, IL 61834-5900

Ph: (217) 442-1004
Dr Dallas L Grant, PHD
112 Sunset Rd,
Danville, IL 61834-5900

Ph: (217) 442-1004

Reviews and Comments


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