OrganizationActive
Alexandra Grannan Licsw LLC
NPI 1871358077 · Community/Behavioral Health Agency · Waltham, MA
Provider details
- NPI number
- 1871358077
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alexandra Grannan, Manager, Sole Member(617) 520-4115
Specialties & taxonomies
Agencies
Practice location
800 Lexington Street
Waltham Plaza 1070
Waltham, MA 02451
Phone: (617) 520-4115
Approximate (ZIP-level) locationGet directions
Mailing address
800 Lexington Street
Waltham, MA 02451
Registry dates
- Enumerated
- 2024-02-16
- Last updated
- 2024-02-16
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.