Provider Demographics
NPI:1558970921
Name:GRASSO, ALESSANDRA NA (MA)
Entity Type:Individual
Prefix:MRS
First Name:ALESSANDRA
Middle Name:NA
Last Name:GRASSO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 OTIS ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2533
Mailing Address - Country:US
Mailing Address - Phone:857-274-6680
Mailing Address - Fax:
Practice Address - Street 1:351 OTIS ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2533
Practice Address - Country:US
Practice Address - Phone:857-274-6680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health