NPI 1306356969 · live from the CMS NPI Registry
Mary Grace Antonette Lavina Abear, PsyD
Psychologist, Clinical in Merced, CA. National Provider Identifier 1306356969, active.
NPI record
| NPI | 1306356969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 5200 N Lake Rd, Merced, CA 95343 |
| Practice phone | 209-228-4266 |
| Mailing address | Po Box 1318, Sacramento, CA 95812 |
| Enumerated | October 9, 2017 |
| Last updated | May 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (CA) |
| Psychologist, Clinical primary | 103TC0700X | PSY35685 (CA) |
| Marriage & Family Therapist | 106H00000X | IMF100848 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.