| NPI | 1942407440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GARLAND GRAY Neuropsychologist 719-487-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2309) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 22735) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |