Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL MAVEN GRAY, PSYD, LP
Active Sole ProprietorDR. JILL MAVEN GRAY, PSYD, LP is a Clinical Psychologist healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1124124045 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1124124045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2006 (19.894356250736 yrs)
- Last Updated
- Apr 25, 2022
- License
-
LP3557 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4201 EXCELSIOR BLVDST LOUIS PARK, MN, 554164728Browse MN providers · Browse ZIP 55416
- Phone
- 9529338900
- Fax
- 9529459536
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| RENEE T VONWEISS | PHD LP | 1265427629 |
| DR. KRISTIN A KUNZMAN | PSY.D. | 1013992676 |
| MS. DIANE D KUZNIA | M.A., L.P. | 1265417828 |
| DAVID RANDAL | — | 1275519795 |
| DR. THOMAS T BENNETT | PSYD, LP | 1306823794 |
| LINDA WONDRASCH | — | 1396722211 |
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.