Individual
GREGORY D PRICHETT
Active
Individual
GREGORY D PRICHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1762
WI
103TC0700X
Clinical Psychologist
1762
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39103500
—
WI
Enumeration date
06/13/2005
Last updated
11/21/2014
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