Provider Demographics
NPI:1548484231
Name:GRAHAM, CATHERINE E (PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:E
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 APOLLO DR
Mailing Address - Street 2:SUITE 341
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4783
Mailing Address - Country:US
Mailing Address - Phone:301-237-0131
Mailing Address - Fax:301-808-0943
Practice Address - Street 1:9701 APOLLO DR
Practice Address - Street 2:SUITE 341
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4783
Practice Address - Country:US
Practice Address - Phone:301-237-0131
Practice Address - Fax:301-808-0943
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04344103TC0700X
DCPSY1000609103TC0700X
GAPSY003113103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical