Graham, Laurie J.

Graham, Laurie J. is an individual health care provider with primary practice located at 401 Shady Ave Suite D 104, Pittsburgh PA 15206-4409. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Graham, Laurie J. can be contacted via phone (412) 365-2001.

Contact Information

Primary practice address
401 Shady Ave Suite D 104 Pittsburgh PA 15206-4409
Fax: (412) 365-2087
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC003375 Pennsylvania

Profile Details

NPI number 1326002361
LBN Legal business name Graham, Laurie J.
Credentials MA, MED, NCC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 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 1326002361 NPPES
Pennsylvania MEDICAID 1009891250002

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