| Organization Name: | GRAHAM AND AWTREY PSYCHOLOGICAL SERVICES, PLLC |
| NPI Number: | 1316382062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE WAYNE GRAHAM (PRESIDENT) |
| Mailing Address: | 76 Us Highway 190 W Woodville |
| State: | TX US |
| Postal Code: | 759799714 |
| Phone Number: | 4094891100 |
| Fax Number: | 9366347631 |
| NPI Enumeration Date: | 05/08/2013 |
| NPI Last Update Date: | 05/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 18076 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |