MR. JOHN W GRAVES


Address: 862 Whitby Ave, Yeadon, PA 19050-3510
Phone: 2159174468

MR. JOHN W GRAVES (NPI# 1922385236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922385236
Entity Type Individual
Full Name MR. JOHN W GRAVES
Credential M.ED.,M.S., M.S.
Practice Address 862 Whitby Ave
Yeadon
PA 19050-3510
Practice Telephone 2159174468
Mailing Telephone 2159174468
Enumeration Date 2011-11-15
Last Update Date 2011-11-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
103TC2200X PA Behavioral Health & Social Service Providers

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Office Location

Street Address 862 WHITBY AVE
City YEADON
State PA
Zip Code 19050-3510

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1841849460 Colleen Mary Harker Psychologist 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 2019-09-06
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Competitor

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City YEADON
Zip Code 19050

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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