Wray, Marilyn
Wray, Marilyn is an sole proprietor health care provider with primary practice located at 1914 Colvin Blvd , Tonawanda NY 14150-6973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wray, Marilyn can be contacted via phone (716) 510-7644.Contact Information
Primary practice address
1914 Colvin Blvd
Tonawanda NY 14150-6973
Phone: (716) 510-7644
Fax: (716) 875-4138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 018820 | New York |
Profile Details
| NPI number | 1174547004 |
|---|---|
| LBN Legal business name | Wray, Marilyn |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Apr 9th, 2008 - about 18 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 | 1174547004 | NPPES |
| New York | Other | 6208289 | INDEPENDENT HEALTH |
| New York | Other | 7482648 | INDEPENDENT HEALTH |
| New York | Other | 000524117007 | INDEPENDENT HEALTH |
| New York | Other | 00053094001 | INDEPENDENT HEALTH |
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