Individual
DR. SALLY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 E 12TH ST, 601A, NEW YORK, NY 10003-4403
(212) 807-0543
Mailing address
7 E 14TH ST, 1410, NEW YORK, NY 10003-3122
(212) 803-5412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NY005618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01136429
—
NY
01
—
AD001971
APA
—
Enumeration date
09/19/2005
Last updated
07/23/2007
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