Provider Demographics
NPI:1609900356
Name:GRAFF, SANDRA M (EDD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:GRAFF
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 E THOMAS RD STE 295
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7864
Mailing Address - Country:US
Mailing Address - Phone:602-956-0082
Mailing Address - Fax:602-957-3063
Practice Address - Street 1:2345 E THOMAS RD STE 295
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7864
Practice Address - Country:US
Practice Address - Phone:602-956-0082
Practice Address - Fax:602-957-3063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ603103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist