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Individual

JANE SIMPSON GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1600 W 38TH ST, SUITE 212, AUSTIN, TX 78731-6400
(512) 324-3315
(512) 324-3314
Mailing address
1600 W 38TH ST, SUITE 212, AUSTIN, TX 78731-6400
(512) 324-3315
(512) 324-3314

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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