| Trevor Graham, Psy.d., Llc | |
|
2727 Pine St Ste 9 Boulder CO 80302-3846 | |
| (303) 309-0474 | |
| Not Available |
| Full Name | Trevor Graham, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2727 Pine St Ste 9, Boulder, Colorado |
| Authorized Official Name and Position | Trevor Graham (PSYCHOLOGIST) |
| Authorized Official Contact | 3033090474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Graham, Psy.d., Llc 2727 Pine St Ste 9 Boulder CO 80302-3846 Ph: (303) 309-0474 | Trevor Graham, Psy.d., Llc 2727 Pine St Ste 9 Boulder CO 80302-3846 Ph: (303) 309-0474 |
| NPI Number | 1114456001 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114456001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3204 (Colorado) | Primary |
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