Individual
DR. ELIZABETH GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-2697
(909) 825-7084
Mailing address
11201 BENTON ST # 2NW, LOMA LINDA, CA 92357-2697
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY34723
CA
Other
Enumeration date
01/18/2017
Last updated
04/04/2025
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