| Doctor Name: | PATRICK JOSEPH GRAVELINE |
| NPI Number: | 1609915495 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D., BCBA-D |
| License Number: | |
| Business Practice Address: | 6040 Southport Dr Bethesda, MD - 208141848 |
| Business Phone Number: | 3014930047 |
| Business Fax Number: | |
| Mailing Address: | 19517 Gunners Branch Road, Unit E GERMANTOWN |
| State: | MD |
| Postal Code: | 20876 |
| Phone Number: | 4026135950 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |