Provider Demographics
NPI:1033287891
Name:GRANSEE, JONATHAN M (PSYD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:M
Last Name:GRANSEE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W LIBERTY ST STE 359
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2195
Mailing Address - Country:US
Mailing Address - Phone:717-509-5151
Mailing Address - Fax:717-509-6734
Practice Address - Street 1:313 W LIBERTY ST STE 359
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2195
Practice Address - Country:US
Practice Address - Phone:717-509-5151
Practice Address - Fax:717-509-6734
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015106103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018952270003Medicaid