Individual
MR. GREGORY EDWARD NORDLOH
Active
Individual
MR. GREGORY EDWARD NORDLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
130825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006181
—
IN
05
—
7100479880
—
KY
01
—
K252480
MEDICARE
KY
01
—
P01922742
RR MEDICARE
KY
Enumeration date
07/25/2007
Last updated
04/17/2018
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