Gray, Martha A

Gray, Martha A is an individual health care provider with primary practice located at 5279 Fyler Ave , Saint Louis MO 63139-1300. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gray, Martha A can be contacted via phone (314) 881-2553.

Contact Information

Primary practice address
5279 Fyler Ave Saint Louis MO 63139-1300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2012037403 Missouri

Profile Details

NPI number 1710524145
LBN Legal business name Gray, Martha A
Credentials LPC-S, RPT-S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 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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