Provider Demographics
NPI:1497637631
Name:DUNCAN-GRACE, STACEY
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:DUNCAN-GRACE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STACEY
Other - Middle Name:
Other - Last Name:DUNCAN-GRACE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSY D
Mailing Address - Street 1:7500 HARFORD RD STE 1 BALTIMORE MD 21234
Mailing Address - Street 2:4046 EDGEWOOD RD
Mailing Address - City:BALTIMORE
Mailing Address - State:MA
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:443-850-9206
Mailing Address - Fax:
Practice Address - Street 1:7500 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-6900
Practice Address - Country:US
Practice Address - Phone:443-850-9206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA0366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health