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Individual

DR. MICHAEL EUGENE GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., PSYCHOLOGIST

Contact information

Practice address
1500 W 38TH ST STE 47, AUSTIN, TX 78731-6319
(512) 986-4837
Mailing address
3304 NAPA VALLEY BND, LEANDER, TX 78641-2055
(512) 986-4837

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34125
TX
103TS0200X
School Psychologist
33864
TX

Other

Enumeration date
07/22/2009
Last updated
06/10/2010
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