Provider Demographics
NPI:1619935228
Name:GRAHAM, GRACE CHEW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:CHEW
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 1:6220 CHASE OAKS BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4640
Mailing Address - Country:US
Mailing Address - Phone:469-467-7595
Mailing Address - Fax:469-467-0916
Practice Address - Street 1:6220 CHASE OAKS BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4640
Practice Address - Country:US
Practice Address - Phone:469-467-7595
Practice Address - Fax:469-467-0916
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24701103TC0700X
TX4701103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic