Individual
DANA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BARBER PL, ERIE, PA 16507-1863
(814) 453-7661
(814) 874-5505
Mailing address
100 BARBER PL, ERIE, PA 16507-1863
(814) 453-7661
(814) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028654590002
—
PA
Enumeration date
03/20/2015
Last updated
05/31/2016
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