Doctor Name: | MYRIAM MCCRAY |
NPI Number: | 1053772038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 322 Dupont Dr Seymour, IN - 472741723 |
Business Phone Number: | 8125230386 |
Business Fax Number: | 8125238416 |
Mailing Address: | 322 Dupont Dr, SEYMOUR |
State: | IN |
Postal Code: | 472741723 |
Phone Number: | 8125230386 |
Fax Number: | 8125238416 |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |