Gregory Leo Gullickson in Iowa City - Group Psychotherapy
Gregory Leo Gullickson - NPI 1023120276
Gregory Leo Gullickson is a Group Psychotherapy in Iowa City, Iowa. Gregory Leo Gullickson practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Gregory Leo Gullickson is 1023120276. The last update date is 2023-11-10.
Gregory Leo Gullickson's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193564200 and fax number 3193538383. The mailing address for Gregory Leo Gullickson is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Leo Gullickson |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193564200 |
| Fax Number | 3193538383 |
| Sole Proprietor | N |
| Credentials | PH D |
NPI Number Detail
| NPI Number | 1023120276 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-11-10 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193564200 |
| Fax Number | 3193538383 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | 314 |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31191 | IA | BCBS IA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Leo Gullickson by the Centers for Medicare & Medicaid Services?
The Gregory Leo Gullickson has been issued the NPI (National Provider Identifier) 1023120276, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gregory Leo Gullickson's facilities are situated?
The facilities of Gregory Leo Gullickson are physically located at the following address: 200 Hawkins Dr, Iowa City, IA, 522421009.
What is Gregory Leo Gullickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Leo Gullickson's specialized field of practice is Group Psychotherapy, and the corresponding taxonomy code that categorizes this area of specialization is 103Tp2701X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023120276 to Gregory Leo Gullickson?
The Centers for Medicare & Medicaid Services assigned the 1023120276 to Gregory Leo Gullickson on 2006-08-31.
As of what date were the details related to Gregory Leo Gullickson most recently updated or revised?
The information pertaining to Gregory Leo Gullickson, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-10.
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