Provider Demographics
NPI:1033905815
Name:GRAY MATTERS INTEGRATIVE PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:GRAY MATTERS INTEGRATIVE PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:SPENCE
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:601-376-9370
Mailing Address - Street 1:10 CANEBRAKE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-2212
Mailing Address - Country:US
Mailing Address - Phone:601-376-9370
Mailing Address - Fax:
Practice Address - Street 1:279 FOX RUN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-8872
Practice Address - Country:US
Practice Address - Phone:601-376-9370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty