Individual
ANN D GRACER
Active
Individual
ANN D GRACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
01778
NY
103TA0700X
Adult Development & Aging Psychologist
01778
NY
103TB0200X
Cognitive & Behavioral Psychologist
01778
NY
103TC0700X
Clinical Psychologist
01778
NY
103TH0100X
Health Service Psychologist
01778
NY
103TP0814X
Psychoanalysis Psychologist
01778
NY
103TP2701X
Group Psychotherapy Psychologist
Primary
01778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01413547
—
NY
01
—
179302
MHN
NY
Enumeration date
09/15/2005
Last updated
09/11/2025
Update your record
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