Individual
DR. COLLEEN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
PO BOX 1512, KINGSTON, RI 02881-0491
(401) 783-2864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00695
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030459
BLUE CROSS
RI
01
—
407648
BLUE CHIP
RI
01
—
6131098
UNITED HEALTH
RI
05
—
CG19463
—
RI
Enumeration date
09/26/2006
Last updated
07/08/2007
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