Provider Demographics
NPI:1962635664
Name:GRANDI, SHYANNE NAOMI HUGHES (LMFT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:SHYANNE
Middle Name:NAOMI HUGHES
Last Name:GRANDI
Suffix:
Gender:F
Credentials:LMFT, ATR-BC
Other - Prefix:
Other - First Name:SHYANNE
Other - Middle Name:NAOMI
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, ATR-BC
Mailing Address - Street 1:4760 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4820
Mailing Address - Country:US
Mailing Address - Phone:310-390-6612
Mailing Address - Fax:310-390-6690
Practice Address - Street 1:946 VISTA DEL MONTE WAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6829
Practice Address - Country:US
Practice Address - Phone:626-589-9485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT81244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist