Individual
DR. LOIS JEANNE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4807 SPICEWOOD SPRINGS RD, B1 S1120, AUSTIN, TX 78759-8444
(512) 346-0079
Mailing address
4807 SPICEWOOD SPRINGS RD, B1 S1120, AUSTIN, TX 78759-8444
(512) 346-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24521
TX
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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