Organization
GRAVEN AND ASSOCIATES, PLLC
Active
Organization
GRAVEN AND ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN GRAVEN PSYD (OWNER)
(219) 926-8320
Entity
Organization
Contact information
Practice address
8007 LYNDON CENTRE WAY, SUITE # 101, LOUISVILLE, KY 40222
(502) 690-8024
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
08/20/2024
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