Individual
DR. LISA MARIE GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
424 S MAIN ST, UNIT F, FORKED RIVER, NJ 08731-4641
(609) 693-4343
Mailing address
424 S MAIN ST, UNIT F, FORKED RIVER, NJ 08731-4641
(609) 693-4343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100429000
NJ
Other
Enumeration date
06/14/2006
Last updated
03/22/2010
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