Individual
DR. SHANNON E GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY TER, ATHENS, OH 45701-6816
(740) 593-1616
Mailing address
1 UNIVERSITY TER, ATHENS, OH 45701-6816
(740) 593-1616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000000000
OH
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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