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Organization
INTEGRATED PSYCHIATRY, INC.
Active
Organization
INTEGRATED PSYCHIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES GRAYSON MD (PRESIDENT)
(818) 927-0688
Entity
Organization
Contact information
Practice address
25000 AVENUE STANFORD STE 173, VALENCIA, CA 91355-4596
(818) 927-0688
(818) 888-5982
Mailing address
27943 SECO CANYON RD # 573, SANTA CLARITA, CA 91350-3872
(818) 927-0688
(866) 543-9915
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A111804
CA
2084P0005X
Neurodevelopmental Disabilities Physician
A111804
CA
2084P0800X
Psychiatry Physician
A111804
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A111804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851523955
—
NY
Enumeration date
11/21/2017
Last updated
02/04/2020
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