Gray, Leslie Ann
Gray, Leslie Ann is an sole proprietor health care provider with primary practice located at 34950 Chardon Rd Bldg Ii Ste 210 , Willoughby Hills OH 44094-9162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gray, Leslie Ann can be contacted via phone (216) 269-9577.Contact Information
Primary practice address
34950 Chardon Rd Bldg Ii Ste 210
Willoughby Hills OH 44094-9162
Phone: (216) 269-9577
Fax: (954) 208-9777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0700041 | Ohio |
Profile Details
| NPI number | 1699054619 |
|---|---|
| LBN Legal business name | Gray, Leslie Ann |
| Credentials | LISW S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Jun 11th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699054619 | NPPES |
| Ohio | MEDICAID | 0253751 |
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