Gray, Christine W

Gray, Christine W is an individual health care provider with primary practice located at 415 W 27Th St , Cheyenne WY 82001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gray, Christine W can be contacted via phone (307) 630-4729.

Contact Information

Primary practice address
415 W 27Th St Cheyenne WY 82001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 427 Wyoming

Profile Details

NPI number 1033190152
LBN Legal business name Gray, Christine W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 11th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033190152 NPPES
Wyoming Other 103TC0700X DOMHA MCD TAXONOMY
Wyoming Other 21092 DOMHA MCD TAXONOMY

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