Gray, Michelle Dereschuk

Gray, Michelle Dereschuk is an individual health care provider with primary practice located at 1515 N San Francisco St , Flagstaff AZ 86001-1435. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gray, Michelle Dereschuk can be contacted via phone (928) 774-3400.

Contact Information

Primary practice address
1515 N San Francisco St Flagstaff AZ 86001-1435
Phone: (928) 774-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3096 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT0324 Arizona

Profile Details

NPI number 1942417696
LBN Legal business name Gray, Michelle Dereschuk
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Feb 13th, 2009 - 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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