Mrs Katelyn Gray, EDS is a
Psychologist - School based in Hagerman, New Mexico. Mrs Katelyn Gray is licensed to practice in New Mexico (license number 343677) and her current practice location is
406 Cambridge Ave, Hagerman, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 752-3254.
NPI number for Mrs Katelyn Gray is 1548615859 and her current mailing address is Po Box B, Hagerman, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548615859.
Healthcare Provider's Profile
Full Name | Mrs Katelyn Gray |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 406 Cambridge Ave, Hagerman, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548615859
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 04/25/2016
Medical Identifiers
Medical identifiers for Mrs Katelyn Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548615859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 343677 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katelyn Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Katelyn Gray, EDS Po Box B, Hagerman, NM 88232-7501 Ph: (575) 752-3254 | Mrs Katelyn Gray, EDS 406 Cambridge Ave, Hagerman, NM 88232-9610 Ph: (575) 752-3254 |
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