Doctor Name: | MS. DONNA BECK GRANATO |
NPI Number: | 1154468296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 14243 |
Business Practice Address: | 3160 Fm 3175 Lytle, TX - 78052 |
Business Phone Number: | 8307090711 |
Business Fax Number: | 8307090409 |
Mailing Address: | 3160 Fm 3175, LYTLE |
State: | TX |
Postal Code: | 78052 |
Phone Number: | 8307090711 |
Fax Number: | 8307090409 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |