Gray, Samuel Clyde

Gray, Samuel Clyde is an sole proprietor health care provider with primary practice located at 2523 Us Highway 27 S Suite 130, Avon Park FL 33825-7744. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gray, Samuel Clyde can be contacted via phone (863) 452-0710.

Contact Information

Primary practice address
2523 Us Highway 27 S Suite 130 Avon Park FL 33825-7744
Phone: (863) 452-0710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 11620 Florida

Profile Details

NPI number 1467792317
LBN Legal business name Gray, Samuel Clyde
Credentials MA, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2013
Last updated Feb 28th, 2013 - about 11 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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