Whalio Doctors

NPI 1427664176

Nicole Graham PHD PA

Organisation Clinical Neuropsychologist Fort Lauderdale, FL

Practice location

Address
12 SE 7th St STE 705, Fort Lauderdale, FL 33301-3469
Phone
(954) 365-5366

Authorised official

Name
Nicole Graham
Title
President
Phone
(954) 365-5366

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X

Registry record

NPI
1427664176
Entity type
Organization
NPI issued
18 Sep 2020
Record last updated
2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.