Individual
MR. TAYLOR W. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, LICSW
Contact information
Practice address
300 SOUTH STREET, CHESTNUT HILL, MA 02467-3694
(617) 469-0300
(617) 676-3460
Mailing address
300 SOUTH STREET, CHESTNUT HILL, MA 02467-3694
(617) 469-0300
(617) 676-3460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
120185
MA
163W00000X
Registered Nurse
RN2326656
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326656
MA
Other
Enumeration date
07/29/2014
Last updated
02/10/2020
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