Individual
DR. SAMANTHA KRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
700 W LINCOLN ST, PONTIAC, IL 61764-2323
(815) 842-2816
Mailing address
1224 W VAN BUREN ST APT 401, CHICAGO, IL 60607-3361
(847) 951-3999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
IL
Enumeration date
08/30/2021
Last updated
08/30/2021
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