Individual
MR. SCOTT MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GRAND RIVER RD, SUITE 290, BRIGHTON, MI 48114-7333
(810) 220-2787
Mailing address
7600 GRAND RIVER RD, SUITE 290, BRIGHTON, MI 48114-7333
(810) 220-2787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301009281
MI
103K00000X
Behavior Analyst
6301009281
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301009281
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301009281
MI
103TR0400X
Rehabilitation Psychologist
6301009281
MI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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