Individual
DR. WENDY WEAVER-GRAHAM
Active
Individual
DR. WENDY WEAVER-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS015236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101945439
—
PA
01
—
1746370
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/27/2006
Last updated
09/18/2008
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