Organization
CALVIN GRAHAM
Active
Organization
CALVIN GRAHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN GRAHAM PSYD (PSYCHOLOGIST)
(919) 920-2688
Entity
Organization
Contact information
Practice address
501 SHELLEY DR, GOLDSBORO, NC 27534-3251
(919) 920-2688
Mailing address
501 SHELLEY DR, GOLDSBORO, NC 27534-3251
(919) 920-2688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346239399
—
NC
Enumeration date
10/03/2014
Last updated
10/03/2014
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