Gravley, Michelle Ann

Gravley, Michelle Ann is an individual health care provider with primary practice located at 2881 Business Park Ct Ste 150 , Las Vegas NV 89128-9020. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gravley, Michelle Ann can be contacted via phone (702) 508-2112.

Contact Information

Primary practice address
2881 Business Park Ct Ste 150 Las Vegas NV 89128-9020
Phone: (702) 508-2112
Fax: (702) 965-4587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0381 Nevada

Profile Details

NPI number 1730227893
LBN Legal business name Gravley, Michelle Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730227893 NPPES
Nevada MEDICAID 002602018

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