Individual
DR. JERRY GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6070 GATEWAY BLVD E STE 204, EL PASO, TX 79905-2015
(210) 740-6022
Mailing address
6070 GATEWAY BLVD E STE 204, EL PASO, TX 79905-2015
(210) 740-6022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36594
TX
103TC0700X
Clinical Psychologist
930
AL
Other
Enumeration date
08/04/2013
Last updated
04/20/2021
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