Graves, Andrea Michelle

Graves, Andrea Michelle is an sole proprietor health care provider with primary practice located at 1 Quality Dr Department Of Psychiatry, Vacaville CA 95688-9494. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Graves, Andrea Michelle can be contacted via phone (707) 624-2830.

Contact Information

Primary practice address
1 Quality Dr Department Of Psychiatry Vacaville CA 95688-9494
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1609150960
LBN Legal business name Graves, Andrea Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2011
Last updated May 26th, 2020 - about 4 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 1609150960 NPPES
California Other PSY26348 LICENSE- BOARD OF PSYCHOLOGY

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