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Individual

DR. RYAN D GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(806) 778-3897
Mailing address
1657 BARKELEY AVENUE, BLDG 1657, FORT CARSON, CO 80913
(806) 778-3897

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
10783609-2501
UT
103TC0700X
Clinical Psychologist
Primary
PSY.006454
CO

Other

Enumeration date
03/30/2015
Last updated
08/07/2025
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