Ray, Marilyn A
Ray, Marilyn A is an individual health care provider with primary practice located at 76 Summer St , Fitchburg MA 01420-5783. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ray, Marilyn A can be contacted via phone (978) 343-2433.Contact Information
Primary practice address
76 Summer St
Fitchburg MA 01420-5783
Phone: (978) 343-2433
Fax: (978) 343-0791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1032768 | Massachusetts |
Profile Details
| NPI number | 1134390669 |
|---|---|
| LBN Legal business name | Ray, Marilyn A |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Mar 12th, 2008 - about 17 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 | 1134390669 | NPPES |
| Massachusetts | MEDICAID | 1306421 | |
| Massachusetts | MEDICAID | 1308785 |
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