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Contact Information

ANGIE J GRAHAM, PSY.D.
8766 E. HWY 69
C/O DONNA THAXTON HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO
PRESCOTT VALLEY, AZ86314
 Phone: 928-759-4042
 Fax: 928-759-4030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANGIE J GRAHAM · (Female)

NPI # 1245463264
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 08/25/2009
Last updated 08/25/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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