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DEWBERRY GRAHAM LLC NPI 1962665406


NPI Information

NPI: 1962665406
Provider Name: DEWBERRY GRAHAM LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
6845 KNIGHTDALE BLVD
STE 104
KNIGHTDALE, NC
ZIP 27545
Phone: (919) 217-0061
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DEWBERRY GRAHAM LLC is a psychiatry psychiatry neurology in Knightdale, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DEWBERRY GRAHAM LLC NPI is 1962665406. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6845 KNIGHTDALE BLVD
STE 104
KNIGHTDALE, NC
ZIP 27545-651
Phone: (919) 217-0061
Fax: (919) 217-0069

The provider's authorized official is Ronetta Graham .
The authorized official title is Owner and has the following contact phone number (919) 217-0061.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 10/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C409MEDICARE UPIN
26006458MEDICAIDNORTH CAROLINA
35917583MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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