Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1576 | CO |
N | 103TC0700X | Clinical Psychologist | 1576 | CO |
N | 102L00000X | Psychologist | 1576 | CO |
N | 103T00000X | Psychologist | 1576 | CO |
N | 103TA0700X | Adult Development & Aging Psychologist | 1576 | CO |
N | 103G00000X | Clinical Psychologist | 1576 | CO |
N | 103TC0700X | Clinical Psychologist | 1576 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1576 | CO |
N | 103TH0100X | Health Service | 1576 | CO |
N | 103TP2701X | Group Psychotherapist | 1576 | CO |
NPI | 1114990884 |
---|---|
Provider Name | Dr. Anita S Grana |
First Address | Gunnison, CO 81230-9303 |
Second Address | Gunnison, CO 81230-9303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 08/07/2007 |