Individual
CHARLES E. GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2894 THORNAPPLE RIVER DR SE, GRAND RAPIDS, MI 49546-6857
(616) 285-6080
Mailing address
2894 THORNAPPLE RIVER DR SE, GRAND RAPIDS, MI 49546-6857
(616) 285-6080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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