Individual
MR. MATTHEW S GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
(201) 265-0366
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
(201) 265-0366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44SL06440100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44SL06440100
—
NJ
Enumeration date
06/27/2019
Last updated
06/27/2019
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