Search › Florida › 171100000X
Jeanie Grace, PHD, AP, LAC
NPI 1710024393 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3700 N Harbor City Blvd Ste 2b
Melbourne, FL 32935 - Phone
- (321) 890-2082
- Organisation at this address
- La B&B Enterprise Llc
Jeffrey M Williamson Phd Llc
Cornerstone Caregiving East LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 5855 E Naples Plz Ste 206, Long Beach, CA
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- CA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida