Individual
CHRISTIANA DANIELLE DEGREGORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
391 SERPENTINE DR, SUITE 400, DOCTOR'S CENTER, SPARTANBURG, SC 29303-3096
(864) 560-7517
(864) 560-7520
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1079
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001257
—
NC
01
—
P00882064
RAILROAD MEDICARE
SC
05
—
PS0484
—
SC
Enumeration date
04/22/2008
Last updated
04/18/2011
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