| Doctor Name: | MICHAEL GRANOFF |
| NPI Number: | 1992865307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCSW |
| License Number: | 006065 |
| Business Practice Address: | 4350 Shawnee Mission Pkwy Suite 252 Fairway, KS - 66205 |
| Business Phone Number: | 9136772277 |
| Business Fax Number: | 9136772229 |
| Mailing Address: | 4350 Shawnee Mission Pkwy, Suite 252 FAIRWAY |
| State: | KS |
| Postal Code: | 66205 |
| Phone Number: | 9136772277 |
| Fax Number: | 9136772229 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 006065 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |