# DR. MARY BANKS GREGERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326265810
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0810002585 | VA | Yes |
| 103T00000X | Psychologist | 2011019793 | MO | — |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 01/25/2012