| Doctor Name: | MR. TRAVIS ANDREW GRAY |
| NPI Number: | 1043552375 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 794 Charton Rd Plumerville, AR - 721278882 |
| Business Phone Number: | 5012086581 |
| Business Fax Number: | |
| Mailing Address: | 794 Charton Rd, PLUMERVILLE |
| State: | AR |
| Postal Code: | 721278882 |
| Phone Number: | 5012086581 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2013 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |