Individual
DR. MICHELLE DERESCHUK GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1515 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-1435
(928) 774-3400
Mailing address
PO BOX 2456, FLAGSTAFF, AZ 86003-2456
(928) 774-3400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3096
AZ
106H00000X
Marriage & Family Therapist
LMFT0324
AZ
Other
Enumeration date
05/16/2007
Last updated
02/13/2009
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