Gray, Jane Simpson
Gray, Jane Simpson is an individual health care provider with primary practice located at 1600 W 38Th St Suite 212, Austin TX 78731-6400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Gray, Jane Simpson can be contacted via phone (512) 324-3315.Contact Information
Primary practice address
1600 W 38Th St Suite 212
Austin TX 78731-6400
Phone: (512) 324-3315
Fax: (512) 324-3314
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 34163 | Texas |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 34163 | Texas |
Profile Details
NPI number | 1346475753 |
---|---|
LBN Legal business name | Gray, Jane Simpson |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2009 |
Last updated | Dec 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346475753 | NPPES |
Texas | Other | 88075A | BCBS |
Texas | MEDICAID | 217415301 | BCBS |
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