Individual
DR. MICHAEL PATRICK GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 487-1330
(215) 487-1641
Mailing address
918 SPRUCE ST, # 7, PHILADELPHIA, PA 19107-6170
(215) 432-6667
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS015427
PA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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