Individual
JENNIFER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 BOARDWALK DR, BLDG 5A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Mailing address
300 BOARDWALK DR, BLDG 5A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2280
CO
103TC2200X
Clinical Child & Adolescent Psychologist
2280
CO
Other
Enumeration date
04/08/2006
Last updated
11/08/2010
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