Provider Demographics
NPI:1114237872
Name:GRAYSON, BARBARA HARRIS (MSM)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:HARRIS
Last Name:GRAYSON
Suffix:
Gender:F
Credentials:MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 N. CLASSEN
Mailing Address - Street 2:SUITE 233
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118
Mailing Address - Country:US
Mailing Address - Phone:405-242-5031
Mailing Address - Fax:405-286-9617
Practice Address - Street 1:4801 N. CLASSEN
Practice Address - Street 2:SUITE 233
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118
Practice Address - Country:US
Practice Address - Phone:405-242-5031
Practice Address - Fax:405-286-9617
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health