| Doctor Name: | DR. ABBEY L GRAVES |
| NPI Number: | 1326082850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071-005005 |
| Business Practice Address: | 1240 Bamberg Court Suite 3a Village Counseling Center Hanover Park, IL - 60133 |
| Business Phone Number: | 8473726599 |
| Business Fax Number: | |
| Mailing Address: | 1240 Bamberg Court Suite 3a, Village Counseling Center HANOVER PARK |
| State: | IL |
| Postal Code: | 60133 |
| Phone Number: | 6303726599 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 02/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071-005005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |