Provider Demographics
NPI:1811272032
Name:CROSS-GRAY, KATIE ANN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:CROSS-GRAY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ANN
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8668 COOK RD
Mailing Address - Street 2:
Mailing Address - City:ARKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14807-9600
Mailing Address - Country:US
Mailing Address - Phone:607-295-7191
Mailing Address - Fax:
Practice Address - Street 1:8668 COOK RD
Practice Address - Street 2:
Practice Address - City:ARKPORT
Practice Address - State:NY
Practice Address - Zip Code:14807-9600
Practice Address - Country:US
Practice Address - Phone:607-295-7191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist