Provider Demographics
NPI:1154009264
Name:GREY, DEBORAH BARBARA (MMHC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:BARBARA
Last Name:GREY
Suffix:
Gender:F
Credentials:MMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 LOCKWOOD DR APT 1005
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4539
Mailing Address - Country:US
Mailing Address - Phone:240-593-6543
Mailing Address - Fax:
Practice Address - Street 1:11200 LOCKWOOD DR APT 1005
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4539
Practice Address - Country:US
Practice Address - Phone:240-593-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral