Organization
GRAHAM AND AWTREY PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WAYNE GRAHAM PH.D. (PRESIDENT)
(409) 489-1100
Entity
Organization
Contact information
Practice address
76 US HIGHWAY 190 W, WOODVILLE, TX 75979-9714
(409) 489-1100
(936) 634-7631
Mailing address
402 PAINT BRUSH CIR, LUFKIN, TX 75904-5345
(409) 489-1100
(936) 634-7631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
18076
TX
103T00000X
Psychologist
Primary
21232
TX
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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