Individual
DR. THOMAS CHARLES GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
14-25 PLAZA RD, SUITE N-2-4, FAIR LAWN, NJ 07410-3546
(201) 207-2199
Mailing address
14-25 PLAZA RD, SUITE N-2-4, FAIR LAWN, NJ 07410-3546
(201) 207-2199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00487500
NJ
Other
Enumeration date
01/09/2012
Last updated
10/22/2018
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