Individual
GEORGE WAYNE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2300 HIGHWAY 365, SUITE 110, NEDERLAND, TX 77627-6256
(409) 729-0400
(866) 573-8008
Mailing address
2300 HIGHWAY 365, SUITE 110, NEDERLAND, TX 77627-6256
(409) 729-0400
(866) 573-8008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142037401
—
TX
Enumeration date
05/16/2006
Last updated
11/06/2007
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