| Jeffrey C. Gregory Phd Pc | |
|
1407 24th Ave S Ste 204 Grand Forks ND 58201-6761 | |
| (701) 213-0426 | |
| Not Available |
| Full Name | Jeffrey C. Gregory Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1407 24th Ave S Ste 204, Grand Forks, North Dakota |
| Authorized Official Name and Position | Jeffrey Charles Gregory (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7012130426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Gregory Phd Pc 16872 S Big Cormorant Rd Audubon MN 56511-9480 Ph: (701) 213-0426 | Jeffrey C. Gregory Phd Pc 1407 24th Ave S Ste 204 Grand Forks ND 58201-6761 Ph: (701) 213-0426 |
| NPI Number | 1194989590 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194989590 | NPI | - | NPPES |
| 28534 | Other | ND | BCBSND |
| 14458 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 397 (North Dakota) | Primary |
| 251S00000X | Community/behavioral Health | 397 (North Dakota) | Secondary |
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