Individual
CARL LOUIE GUNNARD GRAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(800) 443-9672
Mailing address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(800) 443-9672
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38748
TX
Other
Enumeration date
02/18/2021
Last updated
10/22/2021
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