Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Graham PHD PA

Organization Clinical Neuropsychologist · NPI 1427664176

Nicole Graham PHD PA is a Clinical Neuropsychologist in Fort Lauderdale, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 SE 7th St Ste 705
Fort Lauderdale, FL 33301-3469
Phone: (954) 365-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X
Forensic Psychologist Taxonomy 103TF0200X

Record details

NPI number1427664176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Graham — President · (954) 365-5366
NPI enumeratedSeptember 18, 2020
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address12 Se 7th St Ste 705, Fort Lauderdale, FL 33301-3469

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