Doctor Name: | KASEY ELIZABETH GRAY |
NPI Number: | 1639559404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CF-SLP |
License Number: | 2202007853 |
Business Practice Address: | 200 Lillian Ln Lynchburg, VA - 245024378 |
Business Phone Number: | 4343160254 |
Business Fax Number: | |
Mailing Address: | 278 Fox Briar Ln, MADISON HEIGHTS |
State: | VA |
Postal Code: | 245722770 |
Phone Number: | 2766182400 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |