Organization
STEFANIE A. GRAY, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE A. GRAY PH.D. (SOLE MEMBER)
(210) 570-2454
Entity
Organization
Contact information
Practice address
132 PRINCESS PASS, SAN ANTONIO, TX 78212-5337
(210) 570-2454
(210) 966-8959
Mailing address
132 PRINCESS PASS, SAN ANTONIO, TX 78212-5337
(210) 570-2454
(210) 966-8959
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14304738
CAQH ID
—
Enumeration date
12/27/2018
Last updated
03/23/2022
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