Individual provider · Type 1 NPI
Nicholas Eric Ray, MAT
Developmental Disabilities Clinic/Center · Germantown, TN
Practice location
1507 Poplar Estates Pkwy
Germantown, TN 38138-1840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | 200004323 (TN) |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1104415801
Nicholas Eric Ray, MAT's National Provider Identifier is 1104415801, issued on Jan 16, 2021. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Germantown, TN. The record was last updated on Jan 16, 2021.