Individual
LAURIE BETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-5789
(617) 665-1973
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-5789
(617) 665-1973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MT192985
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
252080
MA
390200000X
Student in an Organized Health Care Education/Training Program
MT192985
PA
Other
Enumeration date
07/14/2008
Last updated
07/13/2012
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