| Doctor Name: | DR. KAREN ELIZABETH GRAVES |
| NPI Number: | 1144505736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 019053 |
| Business Practice Address: | 4 Old Dominion Road Blooming Grove, NY - 109140000 |
| Business Phone Number: | 8456331506 |
| Business Fax Number: | |
| Mailing Address: | Po Box 251, BLOOMING GROVE |
| State: | NY |
| Postal Code: | 109140251 |
| Phone Number: | 8456331506 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2011 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 019053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |