Doctor Name: | EMILY R GRAY |
NPI Number: | 1306151188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CF-SLP |
License Number: | |
Business Practice Address: | 1120 S Calumet Rd St 3 Chesterton, IN - 463043285 |
Business Phone Number: | 2199839675 |
Business Fax Number: | 2199839681 |
Mailing Address: | 1120 S Calumet Rd, St 3 CHESTERTON |
State: | IN |
Postal Code: | 463043285 |
Phone Number: | 2199839675 |
Fax Number: | 2199839681 |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 05/14/2013 |
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 |