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NPI Code Detail

MEDICARE: DEBRA ORBUCH GRAYSON

MEDICARE: DEBRA ORBUCH GRAYSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist862MN

General Provider Information

NPI Number : 1578629051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ORBUCH GRAYSON
Provider Business Mailing Address
First Line : 1800 SUMTER AVE N
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55427-4052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4432 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3519
Country : US
Telephone Number : 612-870-2441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA ORBUCH GRAYSON ” Practice Location

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