Individual
DR. BEVAN TODD GRAYBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
333 S 38TH ST, SUITE K, MUSKOGEE, OK 74401-4937
(918) 683-8827
(918) 686-0902
Mailing address
333 S 38TH ST, SUITE K, MUSKOGEE, OK 74401-4937
(918) 683-8827
(918) 686-0902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
353
OK
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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