Provider Demographics
NPI:1396809984
Name:WRAY, WILLIAM ALAN (EDD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALAN
Last Name:WRAY
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:325 MARKET STREET
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1247
Mailing Address - Country:US
Mailing Address - Phone:423-267-2134
Mailing Address - Fax:423-267-2146
Practice Address - Street 1:325 MARKET STREET
Practice Address - Street 2:SUITE 305
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1247
Practice Address - Country:US
Practice Address - Phone:423-267-2134
Practice Address - Fax:423-267-2146
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP703103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0025077OtherBCBS
0025077OtherBCBS