| Grace Psychological Associates Inc | |
|
11344 Coloma Rd Suite 440 Gold River CA 95670-4457 | |
| (916) 552-1402 | |
| (916) 631-7084 |
| Full Name | Grace Psychological Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 11344 Coloma Rd, Gold River, California |
| Authorized Official Name and Position | Melissa Ann Rooney (PRESIDENT) |
| Authorized Official Contact | 9165521402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Psychological Associates Inc 11344 Coloma Rd Suite 440 Gold River CA 95670-4457 Ph: (916) 552-1402 | Grace Psychological Associates Inc 11344 Coloma Rd Suite 440 Gold River CA 95670-4457 Ph: (916) 552-1402 |
| NPI Number | 1891109153 |
|---|---|
| Provider Enumeration Date | 06/15/2014 |
| Last Update Date | 06/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891109153 | NPI | - | NPPES |
| 1669634077 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY12420 (California) | Primary |
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