Dr Laura Jeanne Grande, PHD is a
Clinical Neuropsychologist based in Boston, Massachusetts. Dr Laura Jeanne Grande is licensed to practice in Massachusetts (license number 8624) and her current practice location is
150 S Huntington Ave, Boston Va Healthcare System - Grecc (182), Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(857) 364-6810.
NPI number for Dr Laura Jeanne Grande is 1841390200 and her current mailing address is 150 S Huntington Ave, Boston Va Healthcare System - Psychology (116b), Boston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841390200.
Healthcare Provider's Profile
| Full Name | Dr Laura Jeanne Grande |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 150 S Huntington Ave, Boston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841390200
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 05/20/2015
Medical Identifiers
Medical identifiers for Dr Laura Jeanne Grande such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841390200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 8624 (Massachusetts) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 8624 (Massachusetts) | 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 Laura Jeanne Grande 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 Address | Practice Location Address |
|---|
Dr Laura Jeanne Grande, PHD
150 S Huntington Ave, Boston Va Healthcare System - Psychology (116b),
Boston, MA 02130-4817
Ph: (857) 364-6810 | Dr Laura Jeanne Grande, PHD
150 S Huntington Ave, Boston Va Healthcare System - Grecc (182),
Boston, MA 02130-4817
Ph: (857) 364-6810 |
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