Graham, George Wayne

Graham, George Wayne is an individual health care provider with primary practice located at 2300 Highway 365 Suite 110, Nederland TX 77627-6256. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Graham, George Wayne can be contacted via phone (409) 729-0400.

Contact Information

Primary practice address
2300 Highway 365 Suite 110 Nederland TX 77627-6256
Phone: (409) 729-0400
Fax: (866) 573-8008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 21232 Texas

Profile Details

NPI number 1407808082
LBN Legal business name Graham, George Wayne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 6th, 2007 - about 18 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 1407808082 NPPES
Texas MEDICAID 142037401

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