Organization
JONATHAN M. GRANSEE PSYD AND ASSOCIATES PC
Active
Organization
JONATHAN M. GRANSEE PSYD AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M. GRANSEE PYSD (OWNER)
(717) 509-5151
Entity
Organization
Contact information
Practice address
313 W LIBERTY ST, SUITE 113, LANCASTER, PA 17603-2798
(717) 509-5151
(717) 509-5151
Mailing address
313 W LIBERTY ST, SUITE 113, LANCASTER, PA 17603-2798
(717) 509-5151
(717) 509-5151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-015106
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018952270006
—
PA
05
—
1012136890001
—
PA
05
—
101213689001
—
PA
Enumeration date
02/15/2012
Last updated
02/15/2012
Update your record
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