Individual
MRS. HOLLY ANN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
316 DONOHOE RD, GREENSBURG, PA 15601-6988
(724) 446-7282
Mailing address
736 MUIRFIELD DR, GREENSBURG, PA 15601-8944
(724) 635-0122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006255L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001902090 0004
MA PROVIDER NUMBER
PA
Enumeration date
04/12/2007
Last updated
07/08/2007
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