Stephanie Gray, LICSW
Psychoanalyst in Seattle, WA. Individual provider (NPI-1).
NPI number1194367367
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1194367367
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Gray
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2019
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 102L00000X | Psychoanalyst | – | WA | Yes |
| 102L00000X | Psychoanalyst | – | – |
Practice location
1600 S Lane StSeattle, WA 98144-2810
Phone 206-682-2371
Mailing address
1212 Charles CtBordentown, NJ 08505-3502
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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