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NPI Code Detail

MEDICARE: DR. JULIETTE CHARMAINE GRAY PSY.D.

MEDICARE: DR. JULIETTE CHARMAINE GRAY PSY.D.
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
1103TC0700XClinical Psychologist6301019817LA

General Provider Information

NPI Number : 1669328811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIETTE CHARMAINE GRAY PSY.D.
Provider Business Mailing Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-992-7700
Fax Number : 734-585-5634
Provider Business Practice Location Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-992-7700
Fax Number : 734-585-5634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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