| Jonathan M. Gransee, Psy.d, & Associates, Pc | |
|
313 W Liberty St Ste 113 Lancaster PA 17603-2766 | |
| (717) 413-3130 | |
| (717) 509-6734 |
| Full Name | Jonathan M. Gransee, Psy.d, & Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 313 W Liberty St Ste 113, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Jonathan M. Gransee (OWNER) |
| Authorized Official Contact | 7174133130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan M. Gransee, Psy.d, & Associates, Pc 313 W Liberty St Ste 113 Lancaster PA 17603-2766 Ph: (717) 413-3130 | Jonathan M. Gransee, Psy.d, & Associates, Pc 313 W Liberty St Ste 113 Lancaster PA 17603-2766 Ph: (717) 413-3130 |
| NPI Number | 1619000635 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619000635 | NPI | - | NPPES |
| 0018952270003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS015106 (Pennsylvania) | Primary |
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