Individual
GREGORY LEO GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4200
(319) 353-8383
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4200
(319) 353-8383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00314
IA
103TB0200X
Cognitive & Behavioral Psychologist
00314
IA
103TC1900X
Counseling Psychologist
00772
IA
103TP2701X
Group Psychotherapy Psychologist
00314
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31191
BCBS IA
IA
Enumeration date
08/31/2006
Last updated
11/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us