Graveline, Patrick Joseph
Graveline, Patrick Joseph is an individual health care provider with primary practice located at 10435 Downsville Pike , Hagerstown MD 21740-1732. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Graveline, Patrick Joseph can be contacted via phone (301) 766-8222.Contact Information
Primary practice address
10435 Downsville Pike
Hagerstown MD 21740-1732
Phone: (301) 766-8222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4582 | Maryland |
Profile Details
| NPI number | 1609915495 |
|---|---|
| LBN Legal business name | Graveline, Patrick Joseph |
| Credentials | PSY.D., BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1609915495 | NPPES |
| Maryland | MEDICAID | 252502000 |
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