Provider Demographics
NPI:1730677758
Name:GRAHAM, RACHAEL (LSW)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:SARVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2402 HOOKSTOWN GRADE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:PA
Mailing Address - Zip Code:15026-1814
Mailing Address - Country:US
Mailing Address - Phone:412-203-3723
Mailing Address - Fax:
Practice Address - Street 1:2402 HOOKSTOWN GRADE RD STE 201
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:PA
Practice Address - Zip Code:15026-1814
Practice Address - Country:US
Practice Address - Phone:412-203-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health