Individual
DR. TAMMY GREGOROWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
189 MARKET ST, KINGSTON, PA 18704-5400
(570) 961-3361
(570) 961-3364
Mailing address
86 OAK ST, FORTY FORT, PA 18704-4009
(570) 793-0219
(607) 238-5222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC009386
PA
103K00000X
Behavior Analyst
BH000604
PA
103T00000X
Psychologist
022637
NY
103T00000X
Psychologist
Primary
PS020043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467800615
—
PA
Enumeration date
05/28/2016
Last updated
11/06/2025
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