Provider Demographics
NPI:1639725898
Name:DANA J GRASSO PSYD PLLC
Entity Type:Organization
Organization Name:DANA J GRASSO PSYD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:GRASSO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:202-374-5756
Mailing Address - Street 1:6303 CROOKED OAK LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3100
Mailing Address - Country:US
Mailing Address - Phone:516-991-7668
Mailing Address - Fax:
Practice Address - Street 1:1990 K ST NW STE 635
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1103
Practice Address - Country:US
Practice Address - Phone:202-374-5756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty