Individual
TRICIA BETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
102 S TEJON ST STE 1100, COLORADO SPRINGS, CO 80903-2253
(512) 377-6318
Mailing address
PO BOX 1043, BOISE CITY, OK 73933-1043
(580) 517-1860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106043
TX
235Z00000X
Speech-Language Pathologist
5460
OK
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005849
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09141716
ASHA
—
Enumeration date
11/01/2006
Last updated
04/03/2024
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