Graven And Associates, Pllc | |
8007 Lyndon Centre Way, Suite # 101 Louisville KY 40222 | |
(502) 690-8024 | |
Not Available |
Full Name | Graven And Associates, Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 8007 Lyndon Centre Way, Suite # 101, Louisville, Kentucky |
Authorized Official Name and Position | Jacquelyn Graven (OWNER) |
Authorized Official Contact | 2199268320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Graven And Associates, Pllc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Graven And Associates, Pllc 8007 Lyndon Centre Way, Suite # 101 Louisville KY 40222 Ph: (502) 690-8024 |
NPI Number | 1568846707 |
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Provider Enumeration Date | 07/17/2015 |
Last Update Date | 08/20/2024 |
Certification Date | 08/20/2024 |
Medicare PECOS PAC ID | 2567779713 |
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Medicare Enrollment ID | O20150921000876 |
Identifier | Type | State | Issuer |
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1568846707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Jacquelyn J Graven |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396763249 PECOS PAC ID: 6002812054 Enrollment ID: I20061013000362 |
Provider Name | Raymond Martorano |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700974540 PECOS PAC ID: 9032288782 Enrollment ID: I20080521000029 |
Provider Name | Shelia M Cundiff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730218835 PECOS PAC ID: 2264727460 Enrollment ID: I20160826002364 |
Provider Name | Brad Goebel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073921516 PECOS PAC ID: 7618252941 Enrollment ID: I20170328001800 |
Provider Name | Robert Hammond |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902238595 PECOS PAC ID: 8022328996 Enrollment ID: I20210715003189 |
Provider Name | Amanda L Sneed |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235326299 PECOS PAC ID: 6507248200 Enrollment ID: I20220727003005 |
Provider Name | Kaitlyn Marie Gall |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1952902579 PECOS PAC ID: 8325420938 Enrollment ID: I20220728003565 |
Provider Name | Heather Lauren Cornett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477033546 PECOS PAC ID: 7911339379 Enrollment ID: I20230321001548 |
Provider Name | Amanda C. Gullett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871722397 PECOS PAC ID: 0042654436 Enrollment ID: I20240213003622 |
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