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Contact Information

ALEXANDRA GRANNAN LICSW LLC
800 LEXINGTON STREET
WALTHAM PLAZA 1070
WALTHAM, MA02451
 Phone: 617-520-4115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ALEXANDRA GRANNAN LICSW LLC

NPI # 1871358077
LBN Legal business name ALEXANDRA GRANNAN LICSW LLC
Authorized official ALEXANDRA GRANNAN - (MANAGER, SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2024
Last updated 02/16/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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