Individual
GRACE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4505 S MARYLAND PKWY, BOX 453033, LAS VEGAS, NV 89154-3033
(650) 274-6722
Mailing address
4505 S MARYLAND PKWY, BOX 453033, LAS VEGAS, NV 89154-3033
(650) 274-6722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PT101
NV
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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