Individual
MONIQUE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0920
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014264
NEIGHBORHOOD HEALTH PLAN
MA
01
—
669497
TUFTS HEALTH PLAN
MA
Enumeration date
06/26/2006
Last updated
04/07/2009
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