| Dr James Russell Gray-couch, PHD | |
|
348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | |
| (229) 293-0132 | |
| Not Available |
| Full Name | Dr James Russell Gray-couch |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 348 Enterprise Dr Ste B, Valdosta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619171618 | NPI | - | NPPES |
| 30610026 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 68-019393 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810007761 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Russell Gray-couch, PHD 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 Ph: (229) 293-0132 | Dr James Russell Gray-couch, PHD 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 Ph: (229) 293-0132 |
Dr. Destin Nicole Stewart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605 Phone: 229-244-2030 Fax: 229-244-2038 | |
Dr. Wandamaria B Lopez, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2935 N Ashley St, Suite F, Valdosta, GA 31602 Phone: 229-333-2273 Fax: 229-293-7911 | |
Nikovia Milledge, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3131 N Oak Street Ext Apt 12f, Valdosta, GA 31602 Phone: 793-489-5955 | |
Dr. Marcie C Wiseman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building B-3, Valdosta, GA 31602 Phone: 229-257-0100 | |
Wilhelmenia Howell, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 303 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-244-5000 Fax: 229-244-0808 | |
Dr. Twyla Lucinda Mancil, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2236 Bemiss Rd, Valdosta, GA 31602 Phone: 229-474-9800 Fax: 912-550-4166 | |
Aldo Enrique Revilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bermiss Rd, Moody Afb, Valdosta, GA 31699 Phone: 229-257-4211 |