Doctor Name: | MS. LEIGH E. GRAY |
NPI Number: | 1346395621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW, ACSW |
License Number: | SW100087 |
Business Practice Address: | 2 Whitney Rd Newtonville, MA - 024602429 |
Business Phone Number: | 6179650592 |
Business Fax Number: | 6175270178 |
Mailing Address: | 2 Whitney Rd, NEWTONVILLE |
State: | MA |
Postal Code: | 024602429 |
Phone Number: | 6179650592 |
Fax Number: | 6175270178 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW100087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |