Organization
LYDIA WARD-GRAY, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA WARD-GRAY PSYD (CLINICAL PSYCHOLOGIST)
(207) 232-4508
Entity
Organization
Contact information
Practice address
19 SOUTH STREET, SUITE 4, PORTLAND, ME 04101
(207) 232-4508
Mailing address
19 SOUTH ST, SUITE 4, PORTLAND, ME 04101-3963
(207) 232-4508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS881
ME
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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