Individual
DR. GREGORY NICHOLAS ESSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3625 PARK PL W, SUITE 150, MISHAWAKA, IN 46545-3561
(574) 282-1090
(866) 540-3094
Mailing address
3625 PARK PL W, SUITE 150, MISHAWAKA, IN 46545-3561
(574) 282-1090
(866) 540-3094
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20042533A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12278137
CAQH UNIVERSAL PROVIDER DATASOURCE
—
Enumeration date
08/25/2011
Last updated
07/07/2016
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