NPI 1023939550

Timothy Graham

Practitioner Peer Specialist St Petersburg, FL

Practice location

Address: 4024 Central Ave, St Petersburg, FL 33711-1239
Phone: (727) 327-7656
Mailing address: 1640 Clearwater Largo Rd APT 207, Clearwater, FL 33756-2539

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPS.0101354.V (FL)

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Registry record

NPI: 1023939550
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2026
Record last updated: 22 Jul 2026

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.