Provider Demographics
NPI:1801101290
Name:GRAMMER, DAVID C (LMFT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:GRAMMER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13112 HADLEY ST STE 106B
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4583
Mailing Address - Country:US
Mailing Address - Phone:323-388-8251
Mailing Address - Fax:
Practice Address - Street 1:13112 HADLEY ST STE 106B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4583
Practice Address - Country:US
Practice Address - Phone:323-388-8251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2019-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
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