| Gray Psychological Services Llc | |
|
402 B W. Mt. Vernon Street Ste 337 Nixa MO 65714 | |
| (816) 813-6934 | |
| Not Available |
| Full Name | Gray Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 402 B W. Mt. Vernon Street, Nixa, Missouri |
| Authorized Official Name and Position | Bryce T. Gray (PRESIDENT) |
| Authorized Official Contact | 8168136934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Psychological Services Llc 402 B W. Mt. Vernon Street Ste 337 Nixa MO 65714 Ph: (816) 813-6934 | Gray Psychological Services Llc 402 B W. Mt. Vernon Street Ste 337 Nixa MO 65714 Ph: (816) 813-6934 |
| NPI Number | 1831561554 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831561554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2013040380 (Missouri) | Primary |
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