| Graham Pshchological Consulting And Restoration, Inc | |
|
9111 Broadway Suite Q Merrillville IN 46410-8122 | |
| (773) 501-3557 | |
| (773) 275-1710 |
| Full Name | Graham Pshchological Consulting And Restoration, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9111 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Patricia Graham (OWNER) |
| Authorized Official Contact | 7792751710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Pshchological Consulting And Restoration, Inc 5425 N Paulina St Unit 2 North Chicago IL 60640-1139 Ph: (773) 501-3557 | Graham Pshchological Consulting And Restoration, Inc 9111 Broadway Suite Q Merrillville IN 46410-8122 Ph: (773) 501-3557 |
| NPI Number | 1932392537 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932392537 | NPI | - | NPPES |
| 20042049 | Other | IN | INDIANA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042049 (Indiana) | Primary |
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