Individual
LYDIA S WARD-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 755-3785
(207) 376-3080
Mailing address
PO BOX 10187, ALBANY, NY 12201-5187
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233310199
—
ME
Enumeration date
08/25/2006
Last updated
07/11/2013
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