Most Relevant Information
Provider Data
| NPI Number: | 1003301128 |
| Provider Name: | GRACE MCINTOSH PPS |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2018 |
| Last Updated: | 06/30/2018 |
Provider Practice Location
505 MAIN ST
NEVADA CITY
CA
959592218
Practice Location Phone/Fax
| Phone: | 5302656060 |
| Fax: |
Provider Mailing Location
13024 BITNEY SPRINGS RD
NEVADA CITY
CA
959599017
Provider Mailing Phone/Fax
| Phone: | 5305779405 |
| Fax: |