Individual
DR. PETER GRAHAM
Active
Individual
DR. PETER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD CLINICAL PSYCH
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
859
KS
103TA0700X
Adult Development & Aging Psychologist
859
KS
103TB0200X
Cognitive & Behavioral Psychologist
859
KS
103TC0700X
Clinical Psychologist
859
KS
103TF0200X
Forensic Psychologist
859
KS
103TP0814X
Psychoanalysis Psychologist
859
KS
103TP2701X
Group Psychotherapy Psychologist
Primary
859
KS
Other
Enumeration date
12/26/2006
Last updated
09/11/2025
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