Individual
JAN ALEXANDRA GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
697 VALLEY ST, MAPLEWOOD, NJ 07040-2641
(732) 735-1497
Mailing address
697 VALLEY ST., MAPLEWOOD, NJ 07040-2641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4468
NJ
Other
Enumeration date
01/09/2009
Last updated
01/12/2009
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