Individual
GREGORY DAVID DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87331A
BCBS DOMHA
TX
01
—
87348A
DOCS BCBS
TX
01
—
8J1062
DOMHA MCR
TX
01
—
8J1589
DOCS MCR
TX
01
—
P00449569
DOCS RR MCR
TX
Enumeration date
05/22/2006
Last updated
03/27/2008
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