Individual
DAVID GRANDCOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 AIRPORT ROAD, PREFERRED BEHAVIORAL HEALTH OF NJ, LAKEWOOD, NJ 08701
(732) 367-4700
(732) 785-9500
Mailing address
81 WILSON AVE, NEPTUNE CITY, NJ 07753
(732) 775-8984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00341900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
01
—
526788
AGENCY MEDICARE NUMBER
NJ
Enumeration date
01/28/2009
Last updated
01/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us