Doctor Name: | DR. PAUL FRANCES GRANELLO |
NPI Number: | 1093022295 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | E2244 |
Business Practice Address: | 1000 High St Suite E Worthington, OH - 430854044 |
Business Phone Number: | 6145056874 |
Business Fax Number: | |
Mailing Address: | 1000 High St, Suite E WORTHINGTON |
State: | OH |
Postal Code: | 430854044 |
Phone Number: | 6145056874 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E2244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |