Doctor Name: | CATHLEEN ANNE GRAY |
NPI Number: | 1760817779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 41YS00705300 |
Business Practice Address: | 328 West Ln Clark, NJ - 070661623 |
Business Phone Number: | 7327135307 |
Business Fax Number: | |
Mailing Address: | 11 Eagle Rock Ave, Ste 201 EAST HANOVER |
State: | NJ |
Postal Code: | 079363167 |
Phone Number: | 7327135307 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00705300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |