Provider Demographics
NPI:1598971624
Name:MAYS, PHILIP JAY (MS LMFT)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:JAY
Last Name:MAYS
Suffix:
Gender:M
Credentials:MS LMFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ROBYN
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 T STAUNTON COURT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032
Mailing Address - Country:US
Mailing Address - Phone:860-676-8372
Mailing Address - Fax:860-676-8372
Practice Address - Street 1:5 T STAUNTON COURT
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-676-8372
Practice Address - Fax:860-676-8372
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000677106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist