Doctor Name: | BRIAN D GRAHAM |
NPI Number: | 1821446188 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3400 Bath Pike Park Plaza, Suite 208 Bethlehem, PA - 180172466 |
Business Phone Number: | 6106446464 |
Business Fax Number: | 6109816078 |
Mailing Address: | 680 American Ave, Suite 302 KING OF PRUSSIA |
State: | PA |
Postal Code: | 194064023 |
Phone Number: | 6106446464 |
Fax Number: | 6109816078 |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |