Individual
DR. WINSLOW GREGORY GERRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202684
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013297621
—
ID
Enumeration date
08/26/2011
Last updated
08/12/2013
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