DR. DAVID BRYANT GRANTHAM ED.D. NPI 1548200322

NPI Information

NPI: 1548200322
Provider Name: DR. DAVID BRYANT GRANTHAM, ED.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
296 GAMBLE AVE
MARYVILLE, TN
ZIP 37801
Phone: (865) 980-6464
Get Directions

DR. David Bryant Grantham, ED.D. is a professional counselor in Maryville, TN. DR. David Bryant Grantham, ED.D. NPI is 1548200322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

296 GAMBLE AVE
MARYVILLE, TN
ZIP 37801-943
Phone: (865) 980-6464
Fax: (865) 977-6823

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		LMT0000000581	TENNESSEE	No
2	101YP2500X	Counselor	Professional	LPC0000001693	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	431961623	OTHER	MISSISSIPPI	TAX ID
2	015174	OTHER	TENNESSEE	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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