Provider Demographics
NPI:1194869610
Name:GRAFMAN, JORDAN (PHD)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:GRAFMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COGNITIVE NEUROSCIENCE SECTION NINDS 10 CENTER DR
Mailing Address - Street 2:BUILDING 10, ROOM 7D43, MSC 1440
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-0220
Mailing Address - Fax:301-480-2909
Practice Address - Street 1:COGNITIVE NEUROSCIENCE SECTION NINDS 10 CENTER DR
Practice Address - Street 2:BUILDING 10, ROOM 7D43, MSC 1440
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-0220
Practice Address - Fax:301-480-2909
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist