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

Primary practice address
3007 Bardwell Rd Greensboro NC 27410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154407138 NPPES
North Carolina MEDICAID 6105068
North Carolina Other 135E4

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