Individual
DR. MARK TREVELYAN GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
980 WESTFALL RD, SUITE 125, ROCHESTER, NY 14618-2605
(585) 292-6630
(585) 292-9720
Mailing address
980 WESTFALL RD, SUITE 125, ROCHESTER, NY 14618-2605
(585) 292-6630
(585) 292-9720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01085583
—
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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