Dr. Louise Bonnie Graham, Ph.D.
Psychologist, Counseling in Brockton, MA. Individual provider (NPI-1).
NPI number1790795003
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790795003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Louise Bonnie Graham
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 5006 | MA | Yes |
Practice location
940 Belmont StBrockton, MA 02301-5596
Phone 508-583-4500
Mailing address
1218 BroadwayHanover, MA 02339-2559
Phone 781-826-8946 · Fax 508-531-4011
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