Moulton, Gray Sappenfield
Moulton, Gray Sappenfield is an sole proprietor health care provider with primary practice located at 3007 Bardwell Rd , Greensboro NC 27410. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Moulton, Gray Sappenfield can be contacted via phone (336) 287-7353.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 869 | North Carolina |
Profile Details
NPI number | 1154407138 |
---|---|
LBN Legal business name | Moulton, Gray Sappenfield |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2006 |
Last updated | Apr 25th, 2019 - about 5 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 | 1154407138 | NPPES |
North Carolina | MEDICAID | 6105068 | |
North Carolina | Other | 135E4 |
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