Individual
DR. ELLEN SMITH GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
360 NORTH BEDFORD DR, # 216, BEVERLY HILLS, CA 90210
(310) 205-0631
(310) 394-6074
Mailing address
360 NORTH BEDFORD DR, # 216, BEVERLY HILLS, CA 90210
(310) 205-0631
(310) 394-6074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PL103270
BLUE SHIELD OF CALIF
CA
Enumeration date
10/02/2006
Last updated
08/18/2010
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