Provider Demographics
NPI:1316483423
Name:GRAHOVEC, MORGAN IRENE CAREY (PHD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:IRENE CAREY
Last Name:GRAHOVEC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:IRENE
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 ELDORADO PKWY
Mailing Address - Street 2:STE 150, BOX 555
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-8695
Mailing Address - Country:US
Mailing Address - Phone:214-385-8001
Mailing Address - Fax:
Practice Address - Street 1:5110 ELDORADO PKWY STE 460
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-8609
Practice Address - Country:US
Practice Address - Phone:214-385-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-12
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37229103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical