Individual
MRS. AMY ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
120 PYLESVILLE RD, PYLESVILLE, MD 21132-1305
(443) 617-5859
Mailing address
11200 SHERADALE DR, KINGSVILLE, MD 21087-1404
(443) 617-5859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04410
—
MD
Enumeration date
12/20/2018
Last updated
12/20/2018
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