Individual
CHRISTINE A GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
10 MINOT AVENUE, AUBURN, ME 04210
(207) 333-3308
(207) 333-3309
Mailing address
10 MINOT AVENUE, AUBURN, ME 04210
(207) 333-3308
(207) 333-3309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS883
ME
103TB0200X
Cognitive & Behavioral Psychologist
PS883
ME
103TH0004X
Health Psychologist
PS883
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047399
ANTHEM
ME
05
—
431682800
—
ME
Enumeration date
07/12/2006
Last updated
08/24/2010
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