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
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