Graham, Bill D.

Graham, Bill D. is an sole proprietor health care provider with primary practice located at 1212 S Main St , Maryville MO 64468-2604. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Graham, Bill D. can be contacted via phone (660) 582-8340.

Contact Information

Primary practice address
1212 S Main St Maryville MO 64468-2604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00259 Missouri
Behavioral Health & Social Service Providers / Counseling 103TC1900X 00259 Missouri

Profile Details

NPI number 1164428322
LBN Legal business name Graham, Bill D.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Oct 31st, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164428322 NPPES
Missouri Other B840860 MEDICARE

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