Doctor Name: | DANIEL GRAY |
NPI Number: | 1275939084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2500 Ne 65th Ave Vancouver, WA - 986616812 |
Business Phone Number: | 3607507750 |
Business Fax Number: | |
Mailing Address: | Po Box 1071, WHITE SALMON |
State: | WA |
Postal Code: | 986721071 |
Phone Number: | 5038043336 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |