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General NPI Number Information
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NPI Number | 1225922792
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Entity Type | Organization
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Legal Business Name | GRAIES PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 815 E COLORADO ST STE 200
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City | GLENDALE
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State | CA
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Zip | 91205-1298
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Country | US
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Telephone | 800-455-7013
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 N PACIFIC AVE UNIT 4065
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City | GLENDALE
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State | CA
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Zip | 91202-2313
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Country | US
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Telephone | 800-455-7013
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Fax |
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Authorized Official
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Title or Position | CEO/LICENSED PSYCHOLOGIST
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Name | NANCY GRAIES
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Credential | PSYD
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Telephone | 323-628-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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