Doctor Name: | STEVEN GARLAND GRAY |
NPI Number: | 1053514281 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 22735 |
Business Practice Address: | 6270 Lehman Dr Ste 200c Colorado Springs, CO - 80918 |
Business Phone Number: | 7194871760 |
Business Fax Number: | 7194871755 |
Mailing Address: | 18695 Shiloh Ranch Dr, Ste 202 COLORADO SPRINGS |
State: | CO |
Postal Code: | 80908 |
Phone Number: | 7194871760 |
Fax Number: | 7194871755 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 22735 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |