Graham, Nicole
Graham, Nicole is an individual health care provider with primary practice located at 12 Se 7Th St Ste 705 , Fort Lauderdale FL 33301-3469. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Graham, Nicole can be contacted via phone (954) 365-5366.Contact Information
Primary practice address
12 Se 7Th St Ste 705
Fort Lauderdale FL 33301-3469
Phone: (954) 365-5366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY10889 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY10889 | Florida |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PY10889 | Florida |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY10889 | Florida |
Profile Details
| NPI number | 1568742435 |
|---|---|
| LBN Legal business name | Graham, Nicole |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Dec 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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