John Michael Gram in Medford - Psychologist
John Michael Gram - NPI 1477630689
John Michael Gram is a Psychologist in Medford, Oregon. John Michael Gram practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Michael Gram is 1477630689. The last update date is 2019-12-09.
John Michael Gram's current location address is 1175 E Main St Ste 2d, Medford, Oregon. You can contact this provider via phone number 5417727010 and fax number 5412054251. The mailing address for John Michael Gram is 1175 E Main St Ste 2d, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Gram |
|---|---|
| Address | 1175 E Main St Ste 2d, Medford, Oregon |
| Phone Number | 5417727010 |
| Fax Number | 5412054251 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1477630689 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | 1175 E Main St Ste 2d |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975047457 |
| Phone Number | 5417727010 |
| Fax Number | 5412054251 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 975 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the John Michael Gram's unique identification number?
The John Michael Gram has been assigned the NPI (National Provider Identifier) Number 1477630689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John Michael Gram?
The John Michael Gram is physically situated at 1175 E Main St Ste 2D, in the city of Medford, state of OR, with the postal code 975047457.
What is John Michael Gram's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Michael Gram's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the John Michael Gram receive its 1477630689?
The John Michael Gram was issued its 1477630689 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to John Michael Gram last refreshed?
The information related to the John Michael Gram, including its address, specialty, and other relevant details, was last updated on 2019-12-09.
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