Gray, Amanda P
Gray, Amanda P is an sole proprietor health care provider with primary practice located at 1401 Sandia Plz , Bryan TX 77802-4356. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gray, Amanda P can be contacted via phone (512) 650-9252.Contact Information
Primary practice address
1401 Sandia Plz
Bryan TX 77802-4356
Phone: (512) 650-9252
Fax: (979) 859-7226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 67715 | Texas |
Profile Details
| NPI number | 1316291297 |
|---|---|
| LBN Legal business name | Gray, Amanda P |
| Credentials | LPCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2012 |
| Last updated | Sep 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316291297 | NPPES |
| Texas | Other | 67715 | TSBEC |
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