Michelle Dereschuk Gray, PH.D.

Psychologist · Flagstaff, AZ

Individual Active NPI

NPI number 1942417696

Practice location

1515 N San Francisco St
Flagstaff, AZ 86001-1435
Phone
(928) 774-3400

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NPI record

NPI
1942417696
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
February 13, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 3096 AZ
Marriage & Family Therapist 106H00000X LMFT0324 AZ

Mailing address

PO Box 2456
Flagstaff, AZ 86003-2456
Phone
(928) 774-3400

About Dr. Gray

Michelle Dereschuk Gray, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1515 N San Francisco St, Flagstaff, AZ 86001-1435. The NPI number 1942417696 was assigned on May 16, 2007 and the record was last updated on February 13, 2009.

Dr. Gray lists 2 licenses in the registry: #3096 (AZ) for Psychologist; #LMFT0324 (AZ) for Marriage & Family Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michelle Dereschuk Gray, PH.D.?

The NPI number is 1942417696.

What is the phone number of Dr. Gray?

The phone number listed for the practice location is (928) 774-3400.

Where is Dr. Gray located?

1515 N San Francisco St, Flagstaff, AZ 86001-1435.

What is the taxonomy code for Dr. Gray?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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