Individual
MR. EVAN PAUL GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
57 CEDAR ST, WORCESTER, MA 01609-2183
(508) 829-2275
Mailing address
41 WILLOW BROOK RD, HOLDEN, MA 01520-2719
(508) 829-2275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004870
HPHC
MA
01
—
5631229
AETNA
MA
01
—
W04423
BCBSMA
MA
Enumeration date
01/03/2007
Last updated
07/08/2007
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