Provider Demographics
NPI:1356654891
Name:GRAFEMAN, SARAH J (PHD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:GRAFEMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1465 S GRAND BLVD
Mailing Address - Street 2:KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1003
Mailing Address - Country:US
Mailing Address - Phone:314-577-5609
Mailing Address - Fax:314-268-4028
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-5609
Practice Address - Fax:314-268-4028
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20100023580103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist