Graham, Angie J

Graham, Angie J is an sole proprietor health care provider with primary practice located at 8766 E. Hwy 69 C/O Donna Thaxton Humboldt Unified School District/Sso, Prescott Valley AZ 86314. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Graham, Angie J can be contacted via phone (928) 759-4042.

Contact Information

Primary practice address
8766 E. Hwy 69 C/O Donna Thaxton Humboldt Unified School District/Sso Prescott Valley AZ 86314
Phone: (928) 759-4042
Fax: (928) 759-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1245463264
LBN Legal business name Graham, Angie J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2009
Last updated Aug 25th, 2009 - about 15 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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