Gray, Douglas Theodore
Gray, Douglas Theodore is an sole proprietor health care provider with primary practice located at 211 Parsons Ave , Yakima WA 98908-1734. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gray, Douglas Theodore can be contacted via phone (509) 965-1179.Contact Information
Primary practice address
211 Parsons Ave
Yakima WA 98908-1734
Phone: (509) 965-1179
Fax: (509) 965-1179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00005222 | Washington |
Profile Details
| NPI number | 1285631317 |
|---|---|
| LBN Legal business name | Gray, Douglas Theodore |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Feb 11th, 2010 - about 15 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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