Individual
JANE G GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
222 S MERAMEC AVE, SUITE 201, ST. LOUIS, MO 63105-3514
(314) 863-6444
(314) 863-6324
Mailing address
222 S MERAMEC AVE, SUITE 201, ST. LOUIS, MO 63105-3514
(314) 863-6444
(314) 863-6324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01445
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000596105
AETNA
—
01
—
015694000
MAGELLAN
—
01
—
148904
HEALTHLINK
—
01
—
179630
VALUEOPTIONS
—
01
—
27968
BLUE CROSS BLUE SHIELD MO
—
01
—
6115301
UNITED HEALTHCARE UNITED
—
01
—
680010443
RAILROAD MEDICARE
—
01
—
95286
EXCLUSIVE CHOICE
—
Enumeration date
11/07/2006
Last updated
12/26/2018
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