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Individual

MR. DONALD A GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
185 FALLBROOK ST, CARBONDALE, PA 18407-0514
(570) 282-1732
(570) 282-6529
Mailing address
185 FALLBROOK ST, PO BOX 514, CARBONDALE, PA 18407-0514
(570) 282-1732
(570) 282-6529

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS007908L
PA
103TC0700X
Clinical Psychologist
PS007908L
PA

Other

Enumeration date
08/31/2006
Last updated
04/01/2008
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