| Thomas Grace Psy.d. | |
|
14-25 Plaza Rd Suite N-2-4 Fair Lawn NJ 07410-3546 | |
| (201) 207-2199 | |
| Not Available |
| Full Name | Thomas Grace Psy.d. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14-25 Plaza Rd, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Thomas Grace (PSYCHOLOGIST) |
| Authorized Official Contact | 2012072199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Grace Psy.d. 14-25 Plaza Rd Suite N-2-4 Fair Lawn NJ 07410-3546 Ph: (201) 207-2199 | Thomas Grace Psy.d. 14-25 Plaza Rd Suite N-2-4 Fair Lawn NJ 07410-3546 Ph: (201) 207-2199 |
| NPI Number | 1942574330 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942574330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 35S100487500 (New Jersey) | Primary |
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