Provider Demographics
NPI:1982771127
Name:GRAF, VANESSA (PSYD, LMFT, PC)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:PSYD, LMFT, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6270 LEHMAN DR
Mailing Address - Street 2:260
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918
Mailing Address - Country:US
Mailing Address - Phone:719-651-7587
Mailing Address - Fax:
Practice Address - Street 1:6270 LEHMAN DR
Practice Address - Street 2:260
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918
Practice Address - Country:US
Practice Address - Phone:719-651-7587
Practice Address - Fax:719-631-2578
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO569103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical