Gray, Wendy
Gray, Wendy is an sole proprietor health care provider with primary practice located at 136 S Imperial Hwy , Anaheim CA 92807-3943. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Gray, Wendy can be contacted via phone (714) 485-5938.Contact Information
Primary practice address
136 S Imperial Hwy
Anaheim CA 92807-3943
Phone: (714) 485-5938
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 30329 | California |
Behavioral Health & Social Service Providers / Health | 103TH0004X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 30329 | California |
Profile Details
NPI number | 1982063020 |
---|---|
LBN Legal business name | Gray, Wendy |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2016 |
Last updated | Aug 8th, 2023 - about 2 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 | 1982063020 | NPPES |
California | Other | 30329 | PSYCHOLOGY LICENSE |
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