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DR. REVONDA LYNN GRAYSON PH.D.
NPI 1093893059
Clinical Neuropsychologist in Lackland A F B, TX

Active since November 01, 2006
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236(210) 292-7722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Revonda Lynn Grayson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REVONDA LYNN GRAYSON PH.D. (NPI 1093893059) is an individual clinical neuropsychologist in Lackland A F B, Texas, licensed in Virginia (0810002986) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1093893059
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. REVONDA LYNN GRAYSONCredential: PH.D.
Location Address2200 BERGQUIST DR STE 1Lackland A F B, TX 78236-9908
Mailing Address4127 Luckenbach RdSan Antonio, TX 78251-4305 · (210) 292-7722
Phone(210) 292-7722
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093893059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in VA · 0810002986
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 the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2200 BERGQUIST DR STE 1, Lackland A F B, TX 78236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISA CAVALCANTI RIEPMA RD
Dietitian, Registered
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND AFB, TX 78236
Bexar County (210) 292-5737
DR. JILL L STERLING M.D.
Internal Medicine (Critical Care Medicine)
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-7195
MR. JARED BRIAN COOPER
Student in an Organized Health Care Education/Training Program
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5968
JENNY H. RAINWATER AU.D.
Audiologist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. SUSAN WRIGHT MONGEAU DDS, MPH
Dentist (Dental Public Health)
2200 BERGQUIST DR STE 1
LACKLAND AFB, TX 78236
Bexar County (210) 925-1846
MR. THOMAS LOUIS DUQUETTE P.T.
Physical Therapist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. JAMES R.T. BALES M.D.
Orthopaedic Surgery
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5875
MS. SONJA L BANKS-GAY RPH
Pharmacist
2200 BERGQUIST DR STE 1
LACKLAND, TX 78236
Bexar County (210) 292-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revonda Grayson's NPI number?

The NPI number for Revonda Grayson is 1093893059. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Revonda Grayson located?

Revonda Grayson practices at 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236. The listed phone number is (210) 292-7722.

What is Revonda Grayson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Revonda Grayson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.