| Doctor Name: | MRS. GRACE ELIZABETH MOOREFIELD |
| NPI Number: | 1023177458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, ARN, BC |
| License Number: | RN257013 |
| Business Practice Address: | 701 East Foothill Boulevard Azusa, CA - 917027000 |
| Business Phone Number: | 6262532818 |
| Business Fax Number: | 6266060234 |
| Mailing Address: | P.o. Box 1494, GLENDORA |
| State: | CA |
| Postal Code: | 917401494 |
| Phone Number: | 6262532818 |
| Fax Number: | 6266060234 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | RN257013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |