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Individual

DR. GRACE ANNE MUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., MS, ABPDN

Contact information

Practice address
200 NEWPORT CENTER DR STE 300, NEWPORT BEACH, CA 92660-7504
(949) 478-4503
(562) 856-6004
Mailing address
PO BOX 3086, SEAL BEACH, CA 90740-2086
(949) 478-4503
(562) 856-6004

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY15334
CA
103TC0700X
Clinical Psychologist
PSY15334
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY15334
CA

Other

Enumeration date
11/08/2006
Last updated
01/16/2025
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