Staci Janae Graham, - Psychologist in West Covina, CA

Staci Janae Graham, is a Psychologist based in West Covina, California. Staci Janae Graham is licensed to practice in * (Not Available) (license number ) and her current practice location is 1215 W West Covina Pkwy, West Covina, California. She can be reached at her office (for appointments etc.) via phone at (626) 974-0770.

NPI number for Staci Janae Graham is 1851626881 and her current mailing address is 3804 Hathaway Ave Apt 618, Long Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851626881.

Contact Information

Staci Janae Graham,
1215 W West Covina Pkwy,
West Covina, CA 91790-2946
(626) 974-0770
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStaci Janae Graham
GenderFemale
SpecialityPsychologist
Location1215 W West Covina Pkwy, West Covina, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851626881
  • Provider Enumeration Date: 10/08/2009
  • Last Update Date: 09/15/2024

Medical Identifiers

Medical identifiers for Staci Janae Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851626881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY30771 (California)Secondary
103T00000XPsychologist (* (Not Available))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. Staci Janae 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 AddressPractice Location Address
Staci Janae Graham,
3804 Hathaway Ave Apt 618,
Long Beach, CA 90815-5118

Ph: () -
Staci Janae Graham,
1215 W West Covina Pkwy,
West Covina, CA 91790-2946

Ph: (626) 974-0770

Reviews and Comments


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