Bickham, Grace A

Bickham, Grace A is an sole proprietor health care provider with primary practice located at 665 N D St , San Bernardino CA 92401-1109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bickham, Grace A can be contacted via phone (909) 708-8158.

Contact Information

Primary practice address
665 N D St San Bernardino CA 92401-1109
Phone: (909) 708-8158
Fax: (909) 881-3479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X IN PROGRESS Louisiana

Profile Details

NPI number 1699218347
LBN Legal business name Bickham, Grace A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Jun 26th, 2023 - about 3 years 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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