Doctor Name: | MS. HILLARY GRAHAM |
NPI Number: | 1497150403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | PC007867 |
Business Practice Address: | 6322 Sunnybrook Rd Flourtown, PA - 190311639 |
Business Phone Number: | 2155144102 |
Business Fax Number: | |
Mailing Address: | 6322 Sunnybrook Rd, FLOURTOWN |
State: | PA |
Postal Code: | 190311639 |
Phone Number: | 2155144102 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2014 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC007867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |