Individual
DR. ELLEN D. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1832 MEMORIAL DR, CLARKSVILLE, TN 37043-6311
(931) 645-3552
Mailing address
2212 GLORY DR, CLARKSVILLE, TN 37043-1812
(931) 378-7376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2947
TN
Other
Enumeration date
03/02/2007
Last updated
06/12/2013
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