Doctor Name: | MRS. CHRISTINE SYLVIA GRALTON |
NPI Number: | 1972662369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LMHC514 |
Business Practice Address: | 50 Long Pond Rd South Bay Mental Health S Yarmouth, MA - 02664 |
Business Phone Number: | 5083985277 |
Business Fax Number: | 5083984959 |
Mailing Address: | 195 Falmouth Rd, 11c MASHPEE |
State: | MA |
Postal Code: | 02649 |
Phone Number: | 5084776542 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMHC514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |