| Doctor Name: | MR. JOHN W GRAVES |
| NPI Number: | 1922385236 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED.,M.S., M.S. |
| License Number: | 103TC2200X |
| Business Practice Address: | 862 Whitby Ave Yeadon, PA - 190503510 |
| Business Phone Number: | 2159174468 |
| Business Fax Number: | |
| Mailing Address: | 862 Whitby Ave, YEADON |
| State: | PA |
| Postal Code: | 190503510 |
| Phone Number: | 2159174468 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2011 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 103TC2200X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |