| Dr Julie Gray Lightedpathways Psychology Inc | |
|
18411 Crenshaw Blvd Ste 260 Torrance CA 90504-5054 | |
| (847) 212-3564 | |
| (424) 340-2359 |
| Full Name | Dr Julie Gray Lightedpathways Psychology Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18411 Crenshaw Blvd Ste 260, Torrance, California |
| Authorized Official Name and Position | Julie Ann Gray (OWNER) |
| Authorized Official Contact | 8472123564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie Gray Lightedpathways Psychology Inc 18411 Crenshaw Blvd Ste 260 Torrance CA 90504-5054 Ph: (847) 212-3564 | Dr Julie Gray Lightedpathways Psychology Inc 18411 Crenshaw Blvd Ste 260 Torrance CA 90504-5054 Ph: (847) 212-3564 |
| NPI Number | 1700362936 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700362936 | NPI | - | NPPES |
| 11890011 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 28196 (California) | Primary |
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