Timothy Martin Grace, PSYCHOLOGIST

NPI #1235320391 in Soledad, California

Provider Information

NPI Number: 1235320391
Entity Type: Individual
Name: Timothy Martin Grace, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYCHOLOGIST
Enumeration Date: Aug 5, 2007
Last Updated: Jan 18, 2024

Practice Location

Address: 31625 HIGHWAY 101 S
City: Soledad
State: California
ZIP Code: 93960-9529
Phone: (831) 809-6745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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