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Contact Information

GRAY PSYCHOLOGICAL SERVICES LLC
402 B W. MT. VERNON STREET
STE 337
NIXA, MO65714
 Phone: 816-813-6934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GRAY PSYCHOLOGICAL SERVICES LLC

NPI Number 1831561554
LBN Legal business name GRAY PSYCHOLOGICAL SERVICES LLC
Authorized official BRYCE GRAY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2015
Last updated 02/26/2016 - About 10 years ago
Identifiers
MO License # 2013040380
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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