Clifford Ray Graham in Redding - Clinical
Clifford Ray Graham - NPI 1265449953
Clifford Ray Graham is a Clinical in Redding, California. Clifford Ray Graham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clifford Ray Graham is 1265449953. The last update date is 2013-08-19.
Clifford Ray Graham's current location address is 1211 Magnolia Ave, Redding, California. You can contact this provider via phone number 5302450502 and fax number 5302444338. The mailing address for Clifford Ray Graham is 1211 Magnolia Ave, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Ray Graham |
|---|---|
| Address | 1211 Magnolia Ave, Redding, California |
| Phone Number | 5302450502 |
| Fax Number | 5302444338 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265449953 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2013-08-19 |
Provider Mailing Address Detail
| Address | 1211 Magnolia Ave |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960011522 |
| Phone Number | 5302450502 |
| Fax Number | 5302444338 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY5631 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY056310 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clifford Ray Graham by the Centers for Medicare & Medicaid Services?
The Clifford Ray Graham has been assigned the NPI (National Provider Identifier) 1265449953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Clifford Ray Graham's facilities are situated?
The facilities of Clifford Ray Graham are physically located at the following address: 1211 Magnolia Ave, Redding, CA, 960011522.
What is Clifford Ray Graham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clifford Ray Graham's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Clifford Ray Graham receive its 1265449953 assignment from the Centers for Medicare & Medicaid Services?
The Clifford Ray Graham was assigned its 1265449953 by the Centers for Medicare & Medicaid Services on 2006-08-02.
When was the information regarding Clifford Ray Graham most recently updated?
The details pertaining to the Clifford Ray Graham, including its address, specialty, and other relevant information, were last refreshed on 2013-08-19.