Provider Demographics
NPI:1306106471
Name:GRAMATGES, MARC ALEXANDER (PSYD, ABPP, CBIS)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:ALEXANDER
Last Name:GRAMATGES
Suffix:
Gender:M
Credentials:PSYD, ABPP, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W SIXTH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2428
Mailing Address - Country:US
Mailing Address - Phone:484-445-4147
Mailing Address - Fax:484-445-4149
Practice Address - Street 1:100 W SIXTH ST
Practice Address - Street 2:SUITE 305
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2428
Practice Address - Country:US
Practice Address - Phone:484-445-4147
Practice Address - Fax:484-445-4149
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist