Individual
DR. KENNETH JEROME GRAVES
Active
Individual
DR. KENNETH JEROME GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30557
TX
103TC2200X
Clinical Child & Adolescent Psychologist
30557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0962334-01
—
TX
Enumeration date
01/27/2007
Last updated
06/03/2026
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