| Doctor Name: | HENRY A GRANDA |
| NPI Number: | 1346256138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW-3369 |
| Business Practice Address: | 4643b Waimea Canyon Drive Waimea, HI - 96796 |
| Business Phone Number: | 8082400154 |
| Business Fax Number: | 8083381606 |
| Mailing Address: | Po Box 3990, LIHUE |
| State: | HI |
| Postal Code: | 967666990 |
| Phone Number: | 8082400100 |
| Fax Number: | 8082458867 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-3369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |