Provider Demographics
NPI:1922365030
Name:GRASSETTI, STEVIE N (MA)
Entity Type:Individual
Prefix:MS
First Name:STEVIE
Middle Name:N
Last Name:GRASSETTI
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 1:2074 BENTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3923
Mailing Address - Country:US
Mailing Address - Phone:717-318-8859
Mailing Address - Fax:
Practice Address - Street 1:2074 BENTWOOD CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3923
Practice Address - Country:US
Practice Address - Phone:717-318-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program