Wanda Lue Gray, CCC-S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0721 Issued in AZ

Practice address

4932 W Myrtle Ave
Glendale, AZ 85301-2122

Phone

(623) 842-8240

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811029671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 N 66TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024382",
            "telephone_number": "623-842-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 W MYRTLE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012122",
            "telephone_number": "623-842-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "WANDA",
        "middle_name": "LUE",
        "name_prefix": "Mrs.",
        "credential": "CCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801995",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bartu C Gray
• Kellie M Gray, D.C.
• Lenna Christine Gray, PTA
• Natasha Gray, DNP
• Rebecca Gray
• Greater Phoenix Emergency Physicians Inc
• Aaron L Greeley, DO
• Green Apple Kids Therapy LLC
• Green Heron Senior Living, Inc.
• Amy Jo Green, PSY. S

• Speech-Language Pathologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.