Provider Demographics
NPI:1972662369
Name:GRALTON, CHRISTINE SYLVIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SYLVIA
Last Name:GRALTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 FALMOUTH RD
Mailing Address - Street 2:11C
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-477-6542
Mailing Address - Fax:
Practice Address - Street 1:50 LONG POND RD
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH
Practice Address - City:S YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664
Practice Address - Country:US
Practice Address - Phone:508-398-5277
Practice Address - Fax:508-398-4959
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health