Organization
GRACE PSYCHOLOGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN ROONEY PHD (PRESIDENT)
(916) 552-1402
Entity
Organization
Contact information
Practice address
11344 COLOMA RD, SUITE 440, GOLD RIVER, CA 95670-4457
(916) 552-1402
(916) 631-7084
Mailing address
11344 COLOMA RD, SUITE 440, GOLD RIVER, CA 95670-4457
(916) 552-1402
(916) 631-7084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669634077
NPI
CA
Enumeration date
06/15/2014
Last updated
06/15/2014
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