Organization
GRACE ASSESSMENT AND THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BROWN MA (CLINICAL COORDINATOR)
(540) 773-3999
Entity
Organization
Contact information
Practice address
13 E CLIFFORD ST, WINCHESTER, VA 22601-4609
(540) 773-3999
(540) 773-3996
Mailing address
13 E CLIFFORD ST, WINCHESTER, VA 22601-4609
(540) 773-3999
(540) 773-3996
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003713
VA
103TS0200X
School Psychologist
0803000056
VA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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