Elissa Grunblatt, LCSW-R
NPI #1417961426 in Amityville, New York
Provider Information
- NPI Number
- 1417961426
- Entity Type
- Individual
- Name
- Elissa Grunblatt, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Feb 5, 2015
Practice Location
- Address
- 191 BROADWAY
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-2790
- Phone
- (631) 264-0058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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