Doctor Name: | MELISSA GRANADOS |
NPI Number: | 1932577020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 548 S 17th St Harrisburg, PA - 171042223 |
Business Phone Number: | 7176957919 |
Business Fax Number: | 7176957610 |
Mailing Address: | 200 N 7th St, LEBANON |
State: | PA |
Postal Code: | 170465040 |
Phone Number: | 7172728602 |
Fax Number: | 7172731416 |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |