Gray, Sharon L
Gray, Sharon L is an sole proprietor health care provider with primary practice located at 477 S Nicolet Rd , Appleton WI 54914-8270. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gray, Sharon L can be contacted via phone (920) 882-6610.Contact Information
Primary practice address
477 S Nicolet Rd
Appleton WI 54914-8270
Phone: (920) 882-6610
Fax: (920) 882-6611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3086-57 | Wisconsin |
Profile Details
| NPI number | 1073718656 |
|---|---|
| LBN Legal business name | Gray, Sharon L |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | May 10th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073718656 | NPPES |
| Wisconsin | MEDICAID | 40998100 |
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