Graham, Amy J
Graham, Amy J is an sole proprietor health care provider with primary practice located at 622 Davis St Ste 200 , Evanston IL 60201-4491. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Graham, Amy J can be contacted via phone (773) 294-0176.Contact Information
Primary practice address
622 Davis St Ste 200
Evanston IL 60201-4491
Phone: (773) 294-0176
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178.015428 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 18-201 | Illinois |
Profile Details
NPI number | 1861032385 |
---|---|
LBN Legal business name | Graham, Amy J |
Credentials | LPC, ATR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 13th, 2020 |
Last updated | Jan 13th, 2020 - 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.
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