Provider Demographics
NPI:1033265541
Name:GRAYS, LINDA ARNICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ARNICE
Last Name:GRAYS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 PIEDMONT AVENUE, N.E.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1464
Mailing Address - Country:US
Mailing Address - Phone:404-892-3040
Mailing Address - Fax:404-873-4905
Practice Address - Street 1:741 PIEDMONT AVENUE, N.E.
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1464
Practice Address - Country:US
Practice Address - Phone:404-892-3040
Practice Address - Fax:404-873-4905
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1615103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical