Individual
DR. GREGORY STEPHEN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Mailing address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017095
PA
Other
Enumeration date
07/07/2008
Last updated
11/16/2011
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