| Graham Psychological Consulting, Inc | |
|
1112 Us Highway 41 Ste 108 Schererville IN 46375-1361 | |
| (773) 501-3557 | |
| Not Available |
| Full Name | Graham Psychological Consulting, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1112 Us Highway 41 Ste 108, Schererville, Indiana |
| Authorized Official Name and Position | Patricia Anna Graham (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7735013557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Psychological Consulting, Inc 3831 Kirk St Skokie IL 60076-3419 Ph: (773) 501-3557 | Graham Psychological Consulting, Inc 1112 Us Highway 41 Ste 108 Schererville IN 46375-1361 Ph: (773) 501-3557 |
| NPI Number | 1144548934 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2769578020 |
|---|---|
| Medicare Enrollment ID | O20071017000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144548934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007159 (Illinois) | Primary |
| Provider Name | Patricia Graham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093716466 PECOS PAC ID: 3971516543 Enrollment ID: I20060726000426 |
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