Patricia Anna Graham PSYD., HSPP

NPI 1093716466 - Psychologist - 103TC0700X

NPI Details
NPI 1093716466
Gender Female
Enumeration Date 08/09/2005
Last Updated 06/21/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
2650 W ALBION AVE
CHICAGO IL, 60645-5114, US
Phone (773) 501-3557
Fax
Business Location
2650 W ALBION AVE
CHICAGO IL, 60645-5114, US
Phone (773) 501-3557
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071007159
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According to our database, Dr. Patricia Anna Graham PSYD., HSPP NPI is 1093716466, taxonomy code is 103TC0700X and license number is 071007159, license state is located at Illinois. Patricia Anna Graham PSYD., HSPP physically located at 2650 W Albion Ave, Chicago IL, 60645-5114. NPI Number Patricia Anna Graham PSYD., HSPP has the Individual type.

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1093716466 NPI number is provided on an as is basis without warranty of any kind. 1093716466 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Anna Graham PSYD., HSPP are for informational purposes only.