Whalio Doctors

NPI 1174566251

Steven L Gray, PSYD

Practitioner Clinical Psychologist Johnson City, TN

Practice location

Address
119 Boone Ridge Dr Suite 201, Johnson City, TN 37615-4998
Phone
(423) 282-1480
Fax
(423) 928-1353
Mailing address
853 Summerville Road, Kingsport, TN 37663-3108

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2644 (TN)

Registry record

NPI
1174566251
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2006
Record last updated
1 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.