MEDICARE: HANNAH GRANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1962181602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH GRANT

Provider Business Mailing Address
First Line	:	13935 TAHITI WAY APT 345
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13935 TAHITI WAY APT 345
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6566
Country	:	US
Telephone Number	:	424-209-8141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	06/08/2026

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Directions to “ HANNAH GRANT ” Practice Location

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