Provider Demographics
NPI:1669889184
Name:GRANDAS, MARIA (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GRANDAS
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 S GRAHAM ST
Mailing Address - Street 2:APT 3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1015
Mailing Address - Country:US
Mailing Address - Phone:412-427-1983
Mailing Address - Fax:
Practice Address - Street 1:356 S GRAHAM ST
Practice Address - Street 2:APT 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1015
Practice Address - Country:US
Practice Address - Phone:412-427-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007281101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional