Provider Demographics
NPI:1942979315
Name:GRAU, DENNIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:GRAU
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 KENNEDY BLVD APT 20
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2053
Mailing Address - Country:US
Mailing Address - Phone:201-779-6840
Mailing Address - Fax:
Practice Address - Street 1:1084 KENNEDY BLVD APT 20
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2053
Practice Address - Country:US
Practice Address - Phone:201-779-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00927200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional