Virginia Grace-braun, | |
225 Preston Dr, Cloverdale, CA 95425-9511 | |
(707) 483-8013 | |
Not Available |
Full Name | Virginia Grace-braun |
---|---|
Gender | Female |
Speciality | Psychologist - Counseling |
Location | 225 Preston Dr, Cloverdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447671037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | LPCC #397 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Virginia Grace-braun, 225 Preston Dr, Cloverdale, CA 95425-9511 Ph: (707) 483-8013 | Virginia Grace-braun, 225 Preston Dr, Cloverdale, CA 95425-9511 Ph: (707) 483-8013 |
Lea Darya Queen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954 | |
Dr. Maria Jesus Alvarez, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 109 S Main St, Cloverdale, CA 95425 Phone: 323-646-5884 | |
Donna Raschke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-7820 | |
Eileen Denise Roberts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1123 S Cloverdale Blvd # 112, Cloverdale, CA 95425 Phone: 707-867-6635 |