| Doctor Name: | MARYANNA RAY |
| NPI Number: | 1205173606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | XL4049 |
| Business Practice Address: | 31 W Ripley Rd Ripley, ME - 049303207 |
| Business Phone Number: | 2077177587 |
| Business Fax Number: | |
| Mailing Address: | 31 W Ripley Rd, RIPLEY |
| State: | ME |
| Postal Code: | 049303207 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | XL4049 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |