Individual
DR. BRYAN F GRANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14-25 PLAZA RD STE N27, FAIR LAWN, NJ 07410-3548
(201) 445-4310
Mailing address
14-25 PLAZA RD STE N27, FAIR LAWN, NJ 07410-3548
(201) 445-4310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI1942
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
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Other
Enumeration date
12/19/2006
Last updated
07/21/2022
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