Ms Amy J Graham, LPC, ATR is a
Art Therapist based in Evanston, Illinois. Ms Amy J Graham is licensed to practice in Illinois (license number 18-201) and her current practice location is
622 Davis St Ste 200, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 294-0176.
NPI number for Ms Amy J Graham is 1861032385 and her current mailing address is 700 Hinman Ave Apt 2i, Evanston, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861032385.
Healthcare Provider's Profile
Full Name | Ms Amy J Graham |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 622 Davis St Ste 200, Evanston, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861032385
- Provider Enumeration Date: 01/13/2020
- Last Update Date: 01/13/2020
Medical Identifiers
Medical identifiers for Ms Amy J Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861032385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 178.015428 (Illinois) | Secondary |
221700000X | Art Therapist | 18-201 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amy J Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Amy J Graham, LPC, ATR 700 Hinman Ave Apt 2i, Evanston, IL 60202-2559 Ph: (847) 529-2977 | Ms Amy J Graham, LPC, ATR 622 Davis St Ste 200, Evanston, IL 60201-4491 Ph: (773) 294-0176 |
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