Individual
PATRICIA GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8116 HEARTHSTONE PL, ANTELOPE, CA 95843-4620
(916) 725-8716
Mailing address
8116 HEARTHSTONE PL, ANTELOPE, CA 95843-4620
(916) 725-8716
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
27151
CA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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