MS. Tisha Graham, CPM, ICBD, ICCE, CLC
MS. Tisha Graham, CPM, ICBD, ICCE, CLC is a Lactation Consultant (Non-RN) in Round Lake, New York. Licensed in New York and Vermont. Registered with an NPI since 2023.
- Licensed in
- NY, VT
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
40 Washington AveRound Lake, NY 12151
Phone: (518) 366-2159
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Midwife (primary) | Taxonomy 176B00000X · Licence 107.0085724 (VT) |
|---|---|
| Lactation Consultant (Non-RN) | Taxonomy 174N00000X (NY) |
| Doula | Taxonomy 374J00000X (NY) |
Record details
| NPI number | 1952099376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPM , ICBD , ICCE , CLC |
| Sole proprietor | No |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | April 25, 2023 |
| Certification date | April 25, 2023 |