Provider Demographics
NPI:1306092614
Name:GRAF, AMY L (MS)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:GRAF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726B N ARLINGTON PL
Mailing Address - Street 2:REAR COTTAGE
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1619
Mailing Address - Country:US
Mailing Address - Phone:414-331-2156
Mailing Address - Fax:414-328-3797
Practice Address - Street 1:11101 W LINCOLN AVE
Practice Address - Street 2:ROGERS MEMORIAL HOSPITAL
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1133
Practice Address - Country:US
Practice Address - Phone:414-203-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional