Individual
DR. ALISE ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D,
Contact information
Practice address
402B W MOUNT VERNON ST, #337, NIXA, MO 65714-7185
(660) 492-0635
Mailing address
402B W MOUNT VERNON ST, #337, NIXA, MO 65714-7185
(660) 492-0635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2014001337
MO
Other
Enumeration date
07/11/2013
Last updated
03/09/2016
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