Gray, Alice Marie

Gray, Alice Marie is an individual health care provider with primary practice located at 1740 E 17Th St , Idaho Falls ID 83404-6375. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gray, Alice Marie can be contacted via phone (310) 365-3762.

Contact Information

Primary practice address
1740 E 17Th St Idaho Falls ID 83404-6375
Phone: (310) 365-3762
Fax: (208) 529-3184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC -4606 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1164659975
LBN Legal business name Gray, Alice Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Nov 18th, 2011 - about 15 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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