Individual
DR. CALVIN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
311-4E JUDGES RD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
311-4E JUDGES RD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047TU
BCBSNC
NC
05
—
6001099
—
NC
Enumeration date
10/20/2005
Last updated
09/27/2011
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