Provider Demographics
NPI:1023520939
Name:GRANDA, REBECCA ELAINE COX (MSED, PHD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ELAINE COX
Last Name:GRANDA
Suffix:
Gender:F
Credentials:MSED, PHD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3623
Mailing Address - Country:US
Mailing Address - Phone:828-708-9955
Mailing Address - Fax:
Practice Address - Street 1:75 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3623
Practice Address - Country:US
Practice Address - Phone:828-708-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5787103TC1900X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling