Gregory Charles Gridley in Kinston - Clinical

Gregory Charles Gridley - NPI 1518925221

Gregory Charles Gridley is a Clinical in Kinston, North Carolina. Gregory Charles Gridley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Charles Gridley is 1518925221. The last update date is 2007-11-06.

Gregory Charles Gridley's current location address is 2100b N Herritage St, Kinston, North Carolina. You can contact this provider via phone number 2525223976 and fax number 2525221582. The mailing address for Gregory Charles Gridley is 2100b N Herritage St, Kinston, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Charles Gridley
Address 2100b N Herritage St, Kinston, North Carolina
Phone Number 2525223976
Fax Number 2525221582
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1518925221
Provider Enumeration Date 2006-05-02
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 2100b N Herritage St
City Kinston
State North Carolina (NC)
Post Code 285012222
Phone Number 2525223976
Fax Number 2525221582

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1141
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6000369 NC --

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FAQs about Gregory Charles Gridley

What is the unique identification code assigned to Gregory Charles Gridley by the Centers for Medicare & Medicaid Services?

The Gregory Charles Gridley has been issued the NPI (National Provider Identifier) 1518925221. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Gregory Charles Gridley is located?

The Gregory Charles Gridley is situated at the following address: 2100B N Herritage St, Kinston, NC, 285012222.

What is Gregory Charles Gridley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gregory Charles Gridley is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518925221 to Gregory Charles Gridley?

The Centers for Medicare & Medicaid Services originally issued the 1518925221 to Gregory Charles Gridley on 2006-05-02.

When was the information regarding Gregory Charles Gridley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gregory Charles Gridley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-06.

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