Provider Demographics
NPI:1851694723
Name:RAY, AMY KATHRYN (MSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHRYN
Last Name:RAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:RAY-MCWHINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:LOPEZ ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98261-0425
Mailing Address - Country:US
Mailing Address - Phone:808-969-1733
Mailing Address - Fax:808-961-7397
Practice Address - Street 1:308 LOPEZ RD
Practice Address - Street 2:
Practice Address - City:LOPEZ ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98261-8300
Practice Address - Country:US
Practice Address - Phone:808-345-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health