Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Grace M Theodoro, MD

Individual provider Psychiatry Physician · NPI 1366566416

Dr. Grace M Theodoro, MD is a Psychiatry Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4021 S 700 E Ste 300
Salt Lake City, UT 84107-2184
Phone: (314) 432-1805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 30763 (AZ)

Record details

NPI number1366566416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007

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