Provider Demographics
NPI:1962219337
Name:WRAY, NORMAN WARREN III (MA, LAPC)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:WARREN
Last Name:WRAY
Suffix:III
Gender:M
Credentials:MA, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GANTZ MDWS
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-1137
Mailing Address - Country:US
Mailing Address - Phone:717-250-0977
Mailing Address - Fax:
Practice Address - Street 1:815 BRUCE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-1003
Practice Address - Country:US
Practice Address - Phone:717-489-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000732101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health