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Contact Information

BRYAN F GRANELLI, PhD
14-25 PLAZA RD STE N27
FAIR LAWN, NJ07410-3548
 Phone: 201-445-4310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRYAN F GRANELLI · (Male)

NPI Number 1801950639
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/19/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # SI1942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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