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NPI Code Detail

MEDICARE: ALEXA NOELLE GRAY

MEDICARE: ALEXA NOELLE GRAY
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
1101YM0800XMental Health CounselorAPC001175PA

General Provider Information

NPI Number : 1669266136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA NOELLE GRAY
Provider Business Mailing Address
First Line : 745 EISENHAUER DR
Second Line :
City : TELFORD
State : PA
Zip : 18969-2452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 528 MAIN ST STE 200
Second Line :
City : HARLEYSVILLE
State : PA
Zip : 19438-2266
Country : US
Telephone Number : 215-888-3664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2025
Last Update Date : 04/08/2025

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Directions to “ ALEXA NOELLE GRAY ” Practice Location

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