Individual
MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0533
(317) 674-0059
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0533
(317) 674-0059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042609A
IN
Other
Enumeration date
11/20/2006
Last updated
11/20/2012
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