Grace, Timothy Martin

Grace, Timothy Martin is an individual health care provider with primary practice located at 31625 Highway 101 S , Soledad CA 93960-9529. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Grace, Timothy Martin can be contacted via phone (831) 809-6745.

Contact Information

Primary practice address
31625 Highway 101 S Soledad CA 93960-9529
Phone: (831) 809-6745
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24472 California

Profile Details

NPI number 1235320391
LBN Legal business name Grace, Timothy Martin
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 18th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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