Graveline, Patrick Joseph

Graveline, Patrick Joseph is an individual health care provider with primary practice located at 10435 Downsville Pike , Hagerstown MD 21740-1732. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Graveline, Patrick Joseph can be contacted via phone (301) 766-8222.

Contact Information

Primary practice address
10435 Downsville Pike Hagerstown MD 21740-1732
Phone: (301) 766-8222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4582 Maryland

Profile Details

NPI number 1609915495
LBN Legal business name Graveline, Patrick Joseph
Credentials PSY.D., BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 21st, 2022 - about 2 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 1609915495 NPPES
Maryland MEDICAID 252502000

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