Doctor Name: | DR. DAVID G RAY |
NPI Number: | 1679626014 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0810002965 |
Business Practice Address: | 238 Brookley Ave Bolling Afb, DC - 200327704 |
Business Phone Number: | 2027670611 |
Business Fax Number: | |
Mailing Address: | 6212 Falcon Landing Ct, BURKE |
State: | VA |
Postal Code: | 220152528 |
Phone Number: | 7037389203 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810002965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |