| Jonathan M. Gransee Psyd And Associates Pc | |
|
313 W Liberty St Suite 113 Lancaster PA 17603-2798 | |
| (717) 509-5151 | |
| (717) 509-5151 |
| Full Name | Jonathan M. Gransee Psyd And Associates Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 313 W Liberty St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Jonathan M. Gransee (OWNER) |
| Authorized Official Contact | 7175095151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan M. Gransee Psyd And Associates Pc 313 W Liberty St Suite 113 Lancaster PA 17603-2798 Ph: (717) 509-5151 | Jonathan M. Gransee Psyd And Associates Pc 313 W Liberty St Suite 113 Lancaster PA 17603-2798 Ph: (717) 509-5151 |
| NPI Number | 1124391560 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124391560 | NPI | - | NPPES |
| 0018952270006 | Medicaid | PA | |
| 101213689001 | Medicaid | PA | |
| 1012136890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-015106 (Pennsylvania) | Primary |
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