Provider Demographics
NPI:1689344392
Name:GRASSI, DANIELLE K
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:K
Last Name:GRASSI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 WALTONSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3119
Mailing Address - Country:US
Mailing Address - Phone:214-676-9540
Mailing Address - Fax:
Practice Address - Street 1:4828 WALTONSHIRE CIR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3119
Practice Address - Country:US
Practice Address - Phone:214-676-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNONE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health