Individual
DR. GREGORY WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
5062 N 19TH AVE STE 102, PHOENIX, AZ 85015-3225
(623) 939-6567
(623) 939-7365
Mailing address
5062 N 19TH AVE STE 102, PHOENIX, AZ 85015-3225
(623) 939-6567
(623) 939-7365
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3938
AZ
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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