Individual
MS. IEISHA M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1911 GRAND AVE APT 3E, NORTH BERGEN, NJ 07047-2053
(201) 348-5010
(201) 330-1017
Mailing address
1911 GRAND AVE APT 3E, NORTH BERGEN, NJ 07047-2053
(201) 348-5010
(201) 330-1017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00492200
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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