Provider Demographics
NPI:1760400048
Name:GREY, EARL (PHD, NCC, ,LMHC, LPC)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:
Last Name:GREY
Suffix:
Gender:M
Credentials:PHD, NCC, ,LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 LEXINGTON AVE # 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3901
Mailing Address - Country:US
Mailing Address - Phone:917-336-6220
Mailing Address - Fax:
Practice Address - Street 1:1074 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3140
Practice Address - Country:US
Practice Address - Phone:412-889-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007338101YM0800X
PAPC004192101YP2500X
PAPC001492101YM0800X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist