Organization Name: | GRAHAM PSYCHOLOGICAL CONSULTING, INC |
NPI Number: | 1144548934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA GRAHAM (CLINICAL PSYCHOLOGISTY) |
Mailing Address: | 1112 U.s. Highway 41 Suite 108 Schererville |
State: | IN US |
Postal Code: | 46375 |
Phone Number: | 7735013557 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2010 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071007159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |