Individual
GREGORY DAVID DAYTON
Active
Individual
GREGORY DAVID DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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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