Doctor Name: | CHELSEA WRIGHT GRAHAM |
NPI Number: | 1043533144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8899 |
Business Practice Address: | 322 Main St Old Saybrook, CT - 064752350 |
Business Phone Number: | 8605105047 |
Business Fax Number: | |
Mailing Address: | 322 Main St, OLD SAYBROOK |
State: | CT |
Postal Code: | 064752350 |
Phone Number: | 8605105047 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2010 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |