Most Relevant Information
Provider Data
| NPI Number: | 1003238437 |
| Provider Name: | HEATH GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2014 |
| Last Updated: | 01/21/2014 |
Provider Practice Location
1145 SAGAMORE AVE
PORTSMOUTH
NH
038015503
Practice Location Phone/Fax
| Phone: | 6034316703 |
| Fax: | 6034303753 |
Provider Mailing Location
1145 SAGAMORE AVE
PORTSMOUTH
NH
038015503
Provider Mailing Phone/Fax
| Phone: | 6034316703 |
| Fax: | 6034303753 |