James Russell Gray-couch CP

NPI 1619171618 - Psychologist - 103TC0700X

NPI Details
NPI 1619171618
Gender Male
Enumeration Date 06/13/2007
Last Updated 07/31/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1970 ROANOKE BLVD
SALEM VA, 24153-6404, US
Phone (540) 982-2463
Fax (540) 224-1976
Business Location
1970 ROANOKE BLVD
SALEM VA, 24153-6404, US
Phone (540) 982-2463
Fax (540) 224-1976
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 68-019393
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According to our database, Dr. James Russell Gray-couch CP NPI is 1619171618, taxonomy code is 103TC0700X and license number is 68-019393, license state is located at New York. James Russell Gray-couch CP physically located at 1970 Roanoke Blvd, Salem VA, 24153-6404. NPI Number James Russell Gray-couch CP has the Individual type.

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1619171618 NPI number is provided on an as is basis without warranty of any kind. 1619171618 is maintained by the National Plan & Provider Enumeration System. The contents of James Russell Gray-couch CP are for informational purposes only.