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Individual

DR. TRACY CATHERINE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
134 MAIN ST, STE 1A, NEW PALTZ, NY 12561-1129
(845) 896-1476
Mailing address
199 MAIN ST, NEW PALTZ, NY 12561-1242
(845) 256-9528
(845) 256-9528

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
013921
NY

Other

Enumeration date
11/15/2006
Last updated
01/31/2019
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