DR. Rebecca Grace, PSY.D.

NPI #1164876785 in Ketchum, Idaho

Provider Information

NPI Number: 1164876785
Entity Type: Individual
Name: DR. Rebecca Grace, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Apr 20, 2016
Last Updated: Apr 20, 2016

Practice Location

Address: 200 RIVER ST EAST
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (760) 310-9085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Marriage & Family Therapist	106H00000X

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