Provider Demographics
NPI:1720877855
Name:ZISKIND, GRACE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:ZISKIND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WHARF ST APT 108
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2744
Mailing Address - Country:US
Mailing Address - Phone:203-505-7219
Mailing Address - Fax:
Practice Address - Street 1:4 ELM ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1906
Practice Address - Country:US
Practice Address - Phone:203-505-7219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health