| Doctor Name: | MS. LEIGH R GRAVES |
| NPI Number: | 1730463092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PY |
| License Number: | PY5817 |
| Business Practice Address: | 53 Avenue C Ste 1 Apalachicola, FL - 323201785 |
| Business Phone Number: | 8505660037 |
| Business Fax Number: | 8506973891 |
| Mailing Address: | 67 Saddletree Trl, CRAWFORDVILLE |
| State: | FL |
| Postal Code: | 323272594 |
| Phone Number: | 8503392722 |
| Fax Number: | 8506973891 |
| NPI Enumeration Date: | 10/05/2011 |
| NPI Last Update Date: | 10/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY5817 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |