DR. David Thomas Hargraves, PH.D.

NPI #1114128030 in Rexburg, Idaho

Provider Information

NPI Number: 1114128030
Entity Type: Individual
Name: DR. David Thomas Hargraves, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 523 E 4TH S
City: Rexburg
State: Idaho
ZIP Code: 83440-2512
Phone: (208) 359-0836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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