Individual
DR. ANGELA DESIREE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 BRANDON AVE, CHARLOTTESVILLE, VA 22903-3310
(434) 243-5150
Mailing address
400 BRANDON AVE, CHARLOTTESVILLE, VA 22903-3310
(434) 243-5150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004455
VA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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