Individual
GREGORY D PRICHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
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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