Jane G Grady in St. Louis - Clinical

Jane G Grady - NPI 1568531150

Jane G Grady is a Clinical in St. Louis, Missouri. Jane G Grady practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane G Grady is 1568531150. The last update date is 2018-12-26.

Jane G Grady's current location address is 222 S Meramec Ave, St. Louis, Missouri. You can contact this provider via phone number 3148636444 and fax number 3148636324. The mailing address for Jane G Grady is 222 S Meramec Ave, St. Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane G Grady
Address 222 S Meramec Ave, St. Louis, Missouri
Phone Number 3148636444
Fax Number 3148636324
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1568531150
Provider Enumeration Date 2006-11-07
Last Updated Date 2018-12-26

Provider Mailing Address Detail

Address 222 S Meramec Ave
City St. Louis
State Missouri (MO)
Post Code 631053514
Phone Number 3148636444
Fax Number 3148636324

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY01445
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
27968 BLUE CROSS BLUE SHIELD MO
148904 HEALTHLINK
15694000 MAGELLAN
6115301 UNITED HEALTHCARE UNITED
95286 EXCLUSIVE CHOICE
596105 AETNA
179630 VALUEOPTIONS
680010443 RAILROAD MEDICARE

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FAQs about Jane G Grady

What is the unique provider identifier assigned to Jane G Grady?

The Jane G Grady has been issued the NPI (National Provider Identifier) 1568531150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jane G Grady is located?

The Jane G Grady is situated at the following address: 222 S Meramec Ave, St. Louis, MO, 631053514.

What is the area of specialization for Jane G Grady, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jane G Grady is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date was the 1568531150 assigned to Jane G Grady?

The Jane G Grady was issued its 1568531150 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jane G Grady last refreshed?

The information related to the Jane G Grady, including its address, specialty, and other relevant details, was last updated on 2018-12-26.

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