NICOLE GRAHAM PH.D. NPI 1568742435

NPI Information

  • NPI: 1568742435
  • Provider Name: NICOLE GRAHAM, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12 SE 7TH ST STE 705
    FORT LAUDERDALE, FL
    ZIP 33301
  • Phone: (954) 365-5366

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NPI Details

Nicole Graham, PH.D. is a clinical neuropsychologist in Fort Lauderdale, FL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Nicole Graham, PH.D. NPI is 1568742435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 SE 7TH ST STE 705
FORT LAUDERDALE, FL
ZIP 33301-469
Phone: (954) 365-5366

The NPI 1568742435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/24/2011 and was last updated on 12/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistPY10889FLORIDANo
2103TC0700XPsychologistClinicalPY10889FLORIDANo
3103TF0200XPsychologistForensicPY10889FLORIDANo
4103G00000XClinical NeuropsychologistPY10889FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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