| Graven And Associates, Pllc | |
|
8007 Lyndon Centre Way, Suite # 101 Louisville KY 40222 | |
| (502) 690-8024 | |
| Not Available |
| Full Name | Graven And Associates, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 8007 Lyndon Centre Way, Suite # 101, Louisville, Kentucky |
| Authorized Official Name and Position | Jacquelyn Graven (OWNER) |
| Authorized Official Contact | 2199268320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graven And Associates, Pllc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Graven And Associates, Pllc 8007 Lyndon Centre Way, Suite # 101 Louisville KY 40222 Ph: (502) 690-8024 |
| NPI Number | 1568846707 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 2567779713 |
|---|---|
| Medicare Enrollment ID | O20150921000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568846707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jacquelyn J Graven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396763249 PECOS PAC ID: 6002812054 Enrollment ID: I20061013000362 |
| Provider Name | Brad Goebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073921516 PECOS PAC ID: 7618252941 Enrollment ID: I20170328001800 |
| Provider Name | Robert Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902238595 PECOS PAC ID: 8022328996 Enrollment ID: I20210715003189 |
| Provider Name | Amanda L Sneed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235326299 PECOS PAC ID: 6507248200 Enrollment ID: I20220727003005 |
| Provider Name | Amanda C. Gullett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871722397 PECOS PAC ID: 0042654436 Enrollment ID: I20240213003622 |
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