Bernard George Gray in Jamaica Plain - Group Psychotherapy

Bernard George Gray - NPI 1912033648

Bernard George Gray is a Group Psychotherapy in Jamaica Plain, Massachusetts. Bernard George Gray practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Bernard George Gray is 1912033648. The last update date is 2010-02-05.

Bernard George Gray's current location address is 14 Park Ln, Jamaica Plain, Massachusetts. You can contact this provider via phone number 8009230460 and fax number 6175241045. The mailing address for Bernard George Gray is 14 Park Ln, Jamaica Plain, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernard George Gray
Address 14 Park Ln, Jamaica Plain, Massachusetts
Phone Number 8009230460
Fax Number 6175241045
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1912033648
Provider Enumeration Date 2007-02-26
Last Updated Date 2010-02-05

Provider Mailing Address Detail

Address 14 Park Ln
City Jamaica Plain
State Massachusetts (MA)
Post Code 21302906
Phone Number 8009230460
Fax Number 6175241045

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 1315
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WO1138 MA BLUE CROSS BLUE SHIELD

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FAQs about Bernard George Gray

What is the Bernard George Gray's 1912033648?

The Bernard George Gray's NPI (National Provider Identifier) Number is 1912033648. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bernard George Gray is physically located?

The Bernard George Gray is situated at the following address: 14 Park Ln, Jamaica Plain, MA 21302906.

What is Bernard George Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bernard George Gray is Group Psychotherapy, and the taxonomy classification code that categorizes this area of expertise is 103Tp2701X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912033648 to Bernard George Gray?

The Bernard George Gray received its 1912033648 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date was the information regarding Bernard George Gray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bernard George Gray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-05.

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