Individual
SIMONE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
2250 MESQUITE DR, SANTA ROSA, CA 95405-8310
(707) 542-6272
Mailing address
2250 MESQUITE DR, SANTA ROSA, CA 95405-8310
(707) 542-2201
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240324999
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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