Provider Demographics
NPI:1346279957
Name:GRAHAM, JAMES (HAS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10455 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4237
Mailing Address - Country:US
Mailing Address - Phone:800-528-3277
Mailing Address - Fax:561-598-7231
Practice Address - Street 1:2363 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4528
Practice Address - Country:US
Practice Address - Phone:772-286-7227
Practice Address - Fax:772-781-4766
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2367237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist