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Individual
JANE SIMPSON GRAY
Active
Individual
JANE SIMPSON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
34163
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
34163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217415301
—
TX
01
—
88075A
BCBS
TX
Enumeration date
05/29/2009
Last updated
12/14/2012
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