Individual
DR. SOPHIA KARLA BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
285 WINDOVER RD, PIPERTON, TN 38017-5153
(901) 414-2331
Mailing address
285 WINDOVER RD, PIPERTON, TN 38017-5153
(901) 414-2331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2618
TN
103T00000X
Psychologist
89-3P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56166
BCBS OF ARKANSAS
AR
Enumeration date
05/08/2007
Last updated
07/08/2007
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