Individual
DR. MYRIAM LEVESQUE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
322 DUPONT DR, SEYMOUR, IN 47274-1723
(812) 523-0386
(812) 523-8416
Mailing address
1704 CENTRAL AVE, COLUMBUS, IN 47201-5326
(812) 799-0074
(812) 799-0319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
20043452A
IN
103TC1900X
Counseling Psychologist
Primary
20043452A
IN
Other
Enumeration date
03/17/2016
Last updated
08/15/2022
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