Graham, Sally
Graham, Sally is an individual health care provider with primary practice located at 24 E 12Th St 601A, New York NY 10003-4403. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Graham, Sally can be contacted via phone (212) 807-0543.Contact Information
Primary practice address
24 E 12Th St 601A
New York NY 10003-4403
Phone: (212) 807-0543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | NY005618 | New York |
Profile Details
| NPI number | 1174518831 |
|---|---|
| LBN Legal business name | Graham, Sally |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 23rd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174518831 | NPPES |
| Other | AD001971 | APA | |
| MEDICAID | 01136429 | APA |
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