Individual
DR. STEPHANI LYNN GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 459-5719
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 459-5719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1366
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200255170
—
OK
Enumeration date
10/20/2011
Last updated
04/15/2021
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