NPI 1427664176
Nicole Graham PHD PA
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
Clinical Psychologist
Forensic Psychologist
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.