Revonda Lynn Grayson in San Antonio - Clinical Neuropsychologist
Revonda Lynn Grayson - NPI 1093893059
Revonda Lynn Grayson is a Clinical Neuropsychologist in San Antonio, Texas. Revonda Lynn Grayson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Revonda Lynn Grayson is 1093893059. The last update date is 2007-07-08.
Revonda Lynn Grayson's current location address is 4127 Luckenbach Rd, San Antonio, Texas. You can contact this provider via phone number 2102927722. The mailing address for Revonda Lynn Grayson is 4127 Luckenbach Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Revonda Lynn Grayson |
|---|---|
| Address | 4127 Luckenbach Rd, San Antonio, Texas |
| Phone Number | 2102927722 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093893059 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4127 Luckenbach Rd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782514305 |
| Phone Number | 2102927722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 810002986 |
|
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
|
Post Comment/ Review Below
What is the Revonda Lynn Grayson's unique identification number?
The Revonda Lynn Grayson has been assigned the NPI (National Provider Identifier) Number 1093893059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Revonda Lynn Grayson?
The Revonda Lynn Grayson is situated at 4127 Luckenbach Rd, in the city of San Antonio, state of TX, with the zip code 782514305.
What is Revonda Lynn Grayson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Revonda Lynn Grayson is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did Revonda Lynn Grayson receive its 1093893059 assignment from the Centers for Medicare & Medicaid Services?
The Revonda Lynn Grayson was assigned its 1093893059 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Revonda Lynn Grayson last refreshed?
The information related to the Revonda Lynn Grayson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA