Provider Demographics
NPI:1174037634
Name:GRASS, KELSEY ANNE (MS, NCC)
Entity type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:ANNE
Last Name:GRASS
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 PINE ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1927
Mailing Address - Country:US
Mailing Address - Phone:610-462-3155
Mailing Address - Fax:
Practice Address - Street 1:435 PINE ST
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1927
Practice Address - Country:US
Practice Address - Phone:267-416-0533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health