SearchLouisiana1041C0700X

Shannon Grantham, LCSW

NPI 1568633048 · on the registry since 2008

Practice

Address
323 W Walnut Ave
Bastrop, LA 71220
Phone
(318) 665-9950
Organisation at this address
Amy Douglas-Mcvay
Morehouse General Hospital
Morehouse General Hospital
Morehouse General Hospital
Morehouse General Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101Y00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana