Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1184059933 |
---|---|
Provider Name | Dr. Kelly Brooke Graling |
First Address | White Plains, NY 10601-2320 |
Second Address | White Plains, NY 10601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2013 |
Last Update Date | 10/04/2019 |