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

Individual provider Clinical Psychologist · NPI 1477866812

Dr. Ethan Graham, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

330 W 58th St Ste 405
New York, NY 10019-1820
Phone: (718) 702-2437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 018415 (NY)

Record details

NPI number1477866812
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 14, 2010
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021

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