Doctor Name: | ROBERT BENJAMIN GRAY |
NPI Number: | 1598900813 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCMH, CRC |
License Number: | |
Business Practice Address: | 349 Sika Dr Harrington, DE - 199521792 |
Business Phone Number: | 3024227784 |
Business Fax Number: | |
Mailing Address: | 349 Sika Dr, HARRINGTON |
State: | DE |
Postal Code: | 199521792 |
Phone Number: | 3024227784 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2008 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |