Individual
COREY E RAY-SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 WEST WASHINGTON AVE, SUITE 310, MADISON, WI 53703
(608) 960-9549
Mailing address
660 WEST WASHINGTON AVE, SUITE 310, MADISON, WI 53703
(608) 960-9549
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
WI
103TS0200X
School Psychologist
—
WI
Other
Enumeration date
06/09/2011
Last updated
09/15/2022
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