Provider Demographics
NPI:1841533551
Name:GRAYSON, DONALD ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ROSS
Last Name:GRAYSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:195 FARMINGTON AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032
Mailing Address - Country:US
Mailing Address - Phone:860-674-8914
Mailing Address - Fax:860-674-9236
Practice Address - Street 1:195 FARMINGTON AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-674-8914
Practice Address - Fax:860-674-9236
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
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Provider Licenses
StateLicense IDTaxonomies
CT117952084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry