# DR. GRACE MATHAI KURAVACKEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205814639
- **Gender:** F
- **Credential:** PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 0777 | KY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0777 | KY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 128195 | KY | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 10/23/2020