Individual
MRS. JOANNE MARIE GRANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.A.
Contact information
Practice address
1011 TUNNEL ROAD, SUITE 220, ASHEVILLE, NC 28805
(828) 299-7451
(828) 299-7454
Mailing address
35 CLEAR VISTA DR, ASHEVILLE, NC 28805-9246
(828) 298-8214
(828) 299-7454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LPA 2113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046FP
BLUE CROSS BLUE SHIELD
NC
05
—
6107123
—
NC
Enumeration date
01/29/2007
Last updated
07/08/2007
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