Individual
JENNIFER WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(631) 495-8879
Mailing address
67 LINCOLN RD, AMHERST, NY 14226-4458
(716) 834-9200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021486
NY
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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