Individual
DINAH DOWNEY GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSSP, LPA
Contact information
Practice address
7410 BLANCO RD STE 400, SAN ANTONIO, TX 78216-4394
(210) 838-5351
Mailing address
127 RIDGEHAVEN PL, SAN ANTONIO, TX 78209-3419
(210) 663-7558
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31587
TX
103TS0200X
School Psychologist
31464
TX
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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