Most Relevant Information
Provider Data
| NPI Number: | 1003271115 |
| Provider Name: | MARY LOUISE GRAY SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 3759 |
Most Important Dates
| Enumeration Date: | 12/17/2015 |
| Last Updated: | 12/17/2015 |
Provider Practice Location
136 WILLIAM ST
SPRINGFIELD
MA
011052324
Practice Location Phone/Fax
| Phone: | 4137882171 |
| Fax: | 4137882173 |
Provider Mailing Location
136 WILLIAM ST
SPRINGFIELD
MA
011052324
Provider Mailing Phone/Fax
| Phone: | 4137882171 |
| Fax: | 4137882173 |