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NPI Code Detail

MEDICARE: KRISTINA GRABER

MEDICARE: KRISTINA GRABER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist35001907AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083007462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA GRABER
Provider Business Mailing Address
First Line : 28 N EAST ST
Second Line :
City : GREENFIELD
State : IN
Zip : 46140-2167
Country : US
Telephone Number : 317-649-4311
Fax Number : 317-649-4375
Provider Business Practice Location Address
First Line : 28 N EAST ST
Second Line :
City : GREENFIELD
State : IN
Zip : 46140-2167
Country : US
Telephone Number : 317-649-4311
Fax Number : 317-649-4375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2015
Last Update Date : 01/24/2025

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Directions to “ KRISTINA GRABER ” Practice Location

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