| Doctor Name: | RICHARD BROWN RAY |
| NPI Number: | 1306147947 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PMHNP-BBC |
| License Number: | R865840 |
| Business Practice Address: | 823 Highway 589 Purvis, MS - 394754194 |
| Business Phone Number: | 6017940117 |
| Business Fax Number: | 6017940130 |
| Mailing Address: | 111 Moffett Rd, WIGGINS |
| State: | MS |
| Postal Code: | 395778344 |
| Phone Number: | 6017940117 |
| Fax Number: | 6017940130 |
| NPI Enumeration Date: | 11/13/2010 |
| NPI Last Update Date: | 11/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R865840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |