Individual
DR. LORRAINE L. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1675 MASSACHUSETTS AVE, SUITE 1B, CAMBRIDGE, MA 02138-1836
(617) 816-4587
Mailing address
1675 MASSACHUSETTS AVE, SUITE 1B, CAMBRIDGE, MA 02138-1836
(617) 816-4587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06143
BC&BS PROVIDER ID #
MA
Enumeration date
01/06/2007
Last updated
07/08/2007
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