Dr. George Henry Graham III, Ph.D.
Psychologist, Cognitive & Behavioral in San Diego, CA. Individual provider (NPI-1).
NPI number1811248255
StatusActive
Last updated in NPPESSep 25, 2012
Details
- NPI
- 1811248255
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Henry Graham III
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2012
- Last updated
- Sep 25, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | PSY18665 | CA | Yes |
Practice location
9310 Pipilo StSan Diego, CA 92129-3576
Phone 858-538-2650
Mailing address
9310 Pipilo StSan Diego, CA 92129-3576
Phone 858-538-2650
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