National Provider Identifier
Tanya R Grace, PSYD
Tanya R Grace, PSYD is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Rochester, NY and a listed phone number of (585) 723-7972.
Profile Overview
- NPI
- 1972931772
- Provider Type
- Individual
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- October 15, 2013
- Last Updated
- October 18, 2022
Practice Location
- 2655 Ridgeway Ave
- Suite 420
- Rochester, NY 14626-4296
Phone: (585) 723-7972
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Clinical Neuropsychologist (103G00000X)
Endpoints
- tanya.grace@rochesterregional.org
Direct Messaging Address | Rochester, NY 14626
Full Record
- NPI
- 1972931772
- Entity Type
- Individual
- Last Name
- Grace
- First Name
- Tanya
- Middle Name
- R
- Credential
- PSYD
- Provider Other Last Name
- Mahaney
- Provider Other First Name
- Tanya
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Mailing Fax
- (585) 922-0496
- Practice Street Address
- 2655 Ridgeway Ave
- Practice Address Line 2
- Suite 420
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4296
- Practice Country
- US
- Practice Phone
- (585) 723-7972
- Practice Fax
- (585) 368-3119
- Enumeration Date
- October 15, 2013
- Last Updated
- October 18, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Neuropsychologist (103G00000X)
- Other Identifiers
- P01662182 (NY, Medicare Rr)