Individual
KRISTIN ELIZABETH GRAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2910 BRIARCLIFF ROAD, WINSTON SALEM, NC 27106-3176
(336) 407-6764
Mailing address
2910 BRIARCLIFFE RD, SUITE 604-B, WINSTON SALEM, NC 27106-3176
(336) 407-6764
(336) 773-0332
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03629
BLUE CROSS BLUE SHEILD
NC
01
—
1582323
VALUE OPTIONS
NC
05
—
6000520
—
NC
01
—
6114757
UNITED BEHAVIORAL HEALTH
NC
Enumeration date
07/05/2006
Last updated
06/13/2016
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