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

Individual provider Early Intervention Provider Agency · NPI 1669834362

Stacy Grant is an Early Intervention Provider Agency in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
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Practice location Address checks out

415 S 42nd St Apt 4
Philadelphia, PA 19104-4094
Phone: (570) 977-0646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence OC012558 (PA)

Record details

NPI number1669834362
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2016
Last updated in NPPESOctober 17, 2016

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