Individual
DR. SHELLY EYRE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
223 E 5TH ST, POWELL, WY 82435-1906
(831) 334-3370
Mailing address
223 E 5TH ST, POWELL, WY 82435-1906
(831) 334-3370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
22269
CA
103TC0700X
Clinical Psychologist
Primary
771
WY
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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