Individual
DR. GEORGE HENRY GRAHAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9310 PIPILO ST, SAN DIEGO, CA 92129-3576
(858) 538-2650
Mailing address
9310 PIPILO ST, SAN DIEGO, CA 92129-3576
(858) 538-2650
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY18665
CA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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