Organization
GINA GRAHAM, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA MARIE GRAHAM PHD (OWNER/PSYCHOLOGIST)
(785) 397-9791
Entity
Organization
Contact information
Practice address
901 KENTUCKY ST STE 306, LAWRENCE, KS 66044-2858
(785) 397-9791
Mailing address
202 LAWRENCE AVE, LAWRENCE, KS 66049-1826
(785) 397-9791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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