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DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC NPI 1700362936


NPI Information

NPI: 1700362936
Provider Name: DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
18411 CRENSHAW BLVD STE 260
TORRANCE, CA
ZIP 90504
Phone: (847) 212-3564
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DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC is a mental health counselor in Torrance, CA. DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC NPI is 1700362936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18411 CRENSHAW BLVD STE 260
TORRANCE, CA
ZIP 90504-054
Phone: (847) 212-3564
Fax: (424) 340-2359

The provider's authorized official is Julie Ann Gray .
The authorized official title is Owner and has the following contact phone number (847) 212-3564.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health28196CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111890011OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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