Provider Demographics
NPI:1396114294
Name:MAY, GREGORY (MFT)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:MAY
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84-818 MAIOLA ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-4620
Mailing Address - Country:US
Mailing Address - Phone:415-496-9649
Mailing Address - Fax:
Practice Address - Street 1:84-818 MAIOLA ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-4620
Practice Address - Country:US
Practice Address - Phone:415-496-9649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204821106H00000X
OHF.2000142106H00000X
CA90406106H00000X
106H00000X
HIMFT-707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist