Graves, Portia Maria

Graves, Portia Maria is an individual health care provider with primary practice located at 112 N Broad St , Philadelphia PA 19102-1510. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Graves, Portia Maria can be contacted via phone (215) 568-0860.

Contact Information

Primary practice address
112 N Broad St Philadelphia PA 19102-1510
Phone: (215) 568-0860
Fax: (215) 568-0769
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1255455523
LBN Legal business name Graves, Portia Maria
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers