Provider Demographics
NPI:1396196259
Name:RAY, GEORGE CHRISTOPHER (PHD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:CHRISTOPHER
Last Name:RAY
Suffix:
Gender:M
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:PO BOX 10304
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20914-0304
Mailing Address - Country:US
Mailing Address - Phone:301-969-9325
Mailing Address - Fax:301-238-7991
Practice Address - Street 1:7910 WOODMONT AVE STE 908
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-7049
Practice Address - Country:US
Practice Address - Phone:301-969-9325
Practice Address - Fax:301-238-7991
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy