Individual
BARBARA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2004013268
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499189603
—
MO
Enumeration date
12/20/2005
Last updated
10/02/2018
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