| Doctor Name: | ANYCIA M. GRADY |
| NPI Number: | 1194004168 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.S.A., L.S.W |
| License Number: | S.1100390 |
| Business Practice Address: | 22001 Fairmount Blvd Shaker Hts, OH - 441184819 |
| Business Phone Number: | 2163206858 |
| Business Fax Number: | |
| Mailing Address: | 22001 Fairmount Blvd, SHAKER HTS |
| State: | OH |
| Postal Code: | 441184819 |
| Phone Number: | 2163206858 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2011 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | S.1100390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |