Individual
DR. ANDREA MICHELLE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 QUALITY DR, DEPARTMENT OF PSYCHIATRY, VACAVILLE, CA 95688-9494
(707) 624-2830
Mailing address
200 S FRONTAGE RD, STE 320, BURR RIDGE, IL 60527-6953
(630) 337-8006
(630) 581-5984
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY26348
LICENSE- BOARD OF PSYCHOLOGY
CA
Enumeration date
10/05/2011
Last updated
05/26/2020
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