Jeffrey C. Gregory Phd Pc in Audubon - Clinical
Jeffrey C. Gregory Phd Pc - NPI 1194989590
Jeffrey C. Gregory Phd Pc is a Clinical in Audubon, Minnesota. Jeffrey C. Gregory Phd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey C. Gregory Phd Pc is 1194989590. The last update date is 2017-05-08.
Jeffrey C. Gregory Phd Pc's current location address is 16872 S Big Cormorant Rd, Audubon, Minnesota. You can contact this provider via phone number 7012130426. The mailing address for Jeffrey C. Gregory Phd Pc is 16872 S Big Cormorant Rd, Audubon, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey C. Gregory Phd Pc |
|---|---|
| Address | 16872 S Big Cormorant Rd, Audubon, Minnesota |
| Phone Number | 7012130426 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED C |
|---|---|
| Authorized Official Name | Gregory Charles Jeffrey |
| Credentials | PH.D. |
| Telephone Number | 7012130426 |
NPI Number Detail
| NPI Number | 1194989590 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2017-05-08 |
Provider Mailing Address Detail
| Address | 16872 S Big Cormorant Rd |
|---|---|
| City | Audubon |
| State | Minnesota (MN) |
| Post Code | 565119480 |
| Phone Number | 7012130426 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 397 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28534 | ND | BCBSND | |
| 14458 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey C. Gregory Phd Pc by the Centers for Medicare & Medicaid Services?
The Jeffrey C. Gregory Phd Pc has been issued the NPI (National Provider Identifier) 1194989590 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey C. Gregory Phd Pc is located?
The Jeffrey C. Gregory Phd Pc is situated at the following address: 16872 S Big Cormorant Rd, Audubon, MN, 565119480.
What is Jeffrey C. Gregory Phd Pc's area of expertise and its corresponding taxonomy classification?
The Jeffrey C. Gregory Phd Pc's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194989590 to Jeffrey C. Gregory Phd Pc?
The Centers for Medicare & Medicaid Services originally issued the 1194989590 to Jeffrey C. Gregory Phd Pc on 2008-07-15.
As of what date was the information regarding Jeffrey C. Gregory Phd Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey C. Gregory Phd Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-08.
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