Organization
KIRA GRAVES ENTERPRISE LLC
Active
Other names
Rose Tree Psychological
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRA GRAVES PHD, LPC (CEP)
(610) 348-7642
Entity
Organization
Contact information
Practice address
24 VETERANS SQ, MEDIA, PA 19063-3155
(484) 440-9020
Mailing address
625 S GODDARD BLVD APT 358, KING OF PRUSSIA, PA 19406-2066
(610) 348-7642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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