Doctor Name: | MRS. KATHLEEN ERIN GREY |
NPI Number: | 1043675812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 091189 |
Business Practice Address: | 614 Cooper Hill Rd Wynantskill, NY - 121982906 |
Business Phone Number: | 5182836500 |
Business Fax Number: | |
Mailing Address: | 614 Cooper Hill Rd, WYNANTSKILL |
State: | NY |
Postal Code: | 121982906 |
Phone Number: | 5182836500 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 091189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |