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NPI Code Detail

MEDICARE: DR. NYASHA GRAYMAN PHD

MEDICARE: DR. NYASHA GRAYMAN PHD
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
1103T00000XPsychologist
2101YP2500XProfessional CounselorLC12281MD

General Provider Information

NPI Number : 1407296031
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NYASHA GRAYMAN PHD
Provider Business Mailing Address
First Line : 9439 PARAGON CT
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-1408
Country : US
Telephone Number : 667-206-3685
Fax Number :
Provider Business Practice Location Address
First Line : 100 WEST RD STE 300
Second Line :
City : TOWSON
State : MD
Zip : 21204-2370
Country : US
Telephone Number : 667-206-3685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 05/21/2024

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