Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS ERIC RAY, MAT
Active Sole ProprietorNICHOLAS ERIC RAY, MAT is a Developmental Disabilities Clinic healthcare provider located in GERMANTOWN, Tennessee. NPI 1104415801 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · GERMANTOWN, TN
Registration Details
- NPI Number
- 1104415801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2021 (5.585996235356 yrs)
- Last Updated
- Jan 16, 2021
- License
-
200004323 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1507 POPLAR ESTATES PKWYGERMANTOWN, TN, 381381840Browse TN providers · Browse ZIP 38138
- Phone
- 9018281146
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.