Grannum, Gillian

Grannum, Gillian is an individual health care provider with primary practice located at 344 N Reading Rd , Ephrata PA 17522-1651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grannum, Gillian can be contacted via phone (717) 738-1125.

Contact Information

Primary practice address
344 N Reading Rd Ephrata PA 17522-1651
Phone: (717) 738-1125
Fax: (717) 738-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS018690 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018690 Pennsylvania

Profile Details

NPI number 1407292162
LBN Legal business name Grannum, Gillian
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Sep 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407292162 NPPES
Pennsylvania MEDICAID 103573403
Pennsylvania Other PS018690
Pennsylvania Other 14373031

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