Individual
JOEL E GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 OLCOTT RD N, BIG FLATS, NY 14814-7901
(607) 562-7304
(607) 562-7304
Mailing address
3 OLCOTT RD N, BIG FLATS, NY 14814-7901
(607) 562-7304
(607) 562-7304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7579
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
7579
NY
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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