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CHRISTINE A GRAY PSY D

Behavioral Health & Social Service Providers Psychologist Cognitive & Behavioral

Provider NPI: 1316972565

Provider Information:
 CHRISTINE A GRAY PSY D
Gender: F
Sole Proprietor

Practice Location:
10 MINOT AVENUE  AUBURN, ME 04210 US
Tel: 207-333-3308  Fax: 207-333-3309

Business Mailing Address:
10 MINOT AVENUE  AUBURN, ME 04210 US
Tel: 207-333-3308  Fax: 207-333-3309

NPI Information:
NPI: 1316972565
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
Cognitive & Behavioral
MEPS883
N103TH0004XBehavioral Health & Social Service Providers
Psychologist
MEPS883
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
MEPS883

Other Provider Identifiers:

IssuerNumberStateType
431682800ME05
ANTHEM047399ME01



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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