Grisolano, Lee Ann
Grisolano, Lee Ann is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Grisolano, Lee Ann can be contacted via phone (717) 531-8414.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-8414
Fax: (717) 531-0276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS009003L | Pennsylvania |
Profile Details
| NPI number | 1356336713 |
|---|---|
| LBN Legal business name | Grisolano, Lee Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356336713 | NPPES |
| Pennsylvania | MEDICAID | 0017941350004 |
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