Gray, Mary Ellen

Gray, Mary Ellen is an individual health care provider with primary practice located at 9408 B Vermont Court , Clovis NM 88101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Gray, Mary Ellen can be contacted via phone (850) 543-9607.

Contact Information

Primary practice address
9408 B Vermont Court Clovis NM 88101
Phone: (850) 543-9607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1578006250
LBN Legal business name Gray, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2016
Last updated Sep 11th, 2017 - about 8 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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