Dr. Ellen D. Graham, Ph.D.
Psychologist in Clarksville, TN. Individual provider (NPI-1).
NPI number1629106331
StatusActive
Last updated in NPPESJun 12, 2013
Details
- NPI
- 1629106331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen D. Graham
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Jun 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2947 | TN | Yes |
Other names
- Teresa Ellen Graham (Other Name)
Practice location
1832 Memorial DrClarksville, TN 37043-6311
Phone 931-645-3552
Mailing address
2212 Glory DrClarksville, TN 37043-1812
Phone 931-378-7376
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