Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackquelin Marie Grant, LP-MHC

Individual provider Clinical Psychologist · NPI 1124703103

Jackquelin Marie Grant, LP-MHC is a Clinical Psychologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

26 Court St Ste 409
Brooklyn, NY 11242-1134
Phone: (212) 405-2685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 020226 (NY)

Record details

NPI number1124703103
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP-MHC
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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