DR. JERRY GRAGG


Address: 710 29th Ave, Tuscaloosa, AL 35401-1823
Phone: 2053101283

DR. JERRY GRAGG (NPI# 1619309465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619309465
Entity Type Individual
Full Name DR. JERRY GRAGG
Credential PSY.D.
Practice Address 710 29th Ave
Tuscaloosa
AL 35401-1823
Mailing Address 6374 Woodland Forrest Dr
Tuscaloosa
AL 35405-5654
Practice Telephone 2053101283
Practice Fax Number 2055533515
Mailing Telephone 2053106856
Mailing Fax Number 2055533515
Enumeration Date 2013-08-04
Last Update Date 2013-08-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
930 AL Behavioral Health & Social Service Providers

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1346316205 Jerry D Gragg Dentist 3489 N 76th St, Milwaukee, WI 53222 2006-11-24

Office Location

Street Address 710 29TH AVE
City TUSCALOOSA
State AL
Zip Code 35401-1823

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942768031 Serenity and Hope LLC Clinic/Center 2703 7th Street, Tuscaloosa, AL 35401 2019-03-07
1356834428 Heather Glenn Macleod Social Worker 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 2018-06-12
1154832921 Imc of Alabama Physical Therapist 5101 21st Street, Tuscaloosa, AL 35401 2017-10-19
1316466238 Parents Resource Institute for Drug Education (pride) of Tuscaloosa Community/Behavioral Health 620 14th Street, Suite E, Tuscaloosa, AL 35401 2017-09-12
1871967075 Jeri Zemke Specialist/Technologist 504 University Blvd, Tuscaloosa, AL 35401 2015-11-25
1356719033 Jimmy Dean Winters Nurse Practitioner Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 2015-09-11
1831505429 Jennifer Baggett Speech-Language Pathologist 603 Hackberry Lane, Tuscaloosa, AL 35401 2014-07-03
1184045684 Samantha Pasteur Massage Therapist 2601 12 St, Tuscaloosa, AL 35401 2013-12-31
1386089282 John Logan Bailey Pharmacist 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 2013-05-06
1104170539 Kristin C Townsend Technician, Other 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 2012-11-07
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194094128 Heath Ryan Patterson Psychologist 1301 Jack Warner Pkwy Ne, Tuscaloosa, AL 35404-1060 2011-12-20
1194004507 Beverly Elaine Thorn Psychologist 505 Hackberry Lane Gordon Palmer Hl Rm 348, Dept. of Psychology, The University of Alabama, Tuscaloosa, AL 35487-0348 2011-08-16
1982898706 Bettina Schmid Psychologist Center for Mental Health and Aging, The University of Alabama, Tuscaloosa, AL 35487-0001 2007-09-05
1457572240 Kathleen Ann Ronan Psychologist 2802 7th St, Tuscaloosa, AL 35401-1808 2007-05-01
1467670885 The University of Alabama Psychology Clinic Psychologist 505 Hackberry Ln, 251a Gordon Palmer, Tuscaloosa, AL 35487-0001 2007-04-23
1437212289 Sterling Taylor Psychologist 2617 7th Street, Tuscaloosa, AL 35401 2006-12-19
1811055296 Howard Lee Miller Psychologist 70 Cherokee Hls, Tuscaloosa, AL 35404-4984 2006-12-05
1003903725 Beverly Bell-shambley Psychologist 2301 14th St, Tuscaloosa, AL 35401-2929 2006-10-05
1588776702 Jaana Niinikoski Psychologist 2110 Mcfarland Blvd East, Suite F, Tuscaloosa, AL 35404 2006-09-01
1639189400 Joseph E Maio Psychologist 2110 Mcfarland Blvd E Ste F, Tuscaloosa, AL 35404-5820 2006-08-08
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Competitor

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City TUSCALOOSA
Zip Code 35401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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