Individual
DR. MONTSERRAT MITCHELL GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
319 N STEVENS ST, THOMASVILLE, GA 31792-5464
(229) 221-3442
(855) 560-7664
Mailing address
PO BOX 231, THOMASVILLE, GA 31799-0231
(229) 221-3442
(855) 560-7664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110133C
—
GA
Enumeration date
08/04/2010
Last updated
03/30/2021
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