Healthcare Provider Details

I. General information

NPI: 1316060692
Provider Name (Legal Business Name): WILLIAM S. GRAFF, ED.D., P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8160 N HAYDEN RD SUITE J-112
SCOTTSDALE AZ
85258-2467
US

IV. Provider business mailing address

8160 N HAYDEN RD SUITE J-112
SCOTTSDALE AZ
85258-2467
US

V. Phone/Fax

Practice location:
  • Phone: 480-905-8755
  • Fax: 480-905-8851
Mailing address:
  • Phone: 480-905-8755
  • Fax: 480-905-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number519
License Number StateAZ

VIII. Authorized Official

Name: DR. WILLIAM STANLEY GRAFF
Title or Position: PSYCHOLOGIST
Credential: ED.D., P.C.
Phone: 480-905-8755