Individual
GREGORY J THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
1600 LAKE FRONT CIR STE 150, THE WOODLANDS, TX 77380-3613
(281) 705-3410
Mailing address
1600 LAKE FRONT CIR STE 150, THE WOODLANDS, TX 77380-3613
(281) 705-3410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024NN
BLUE CROSS / BLUE SHEILD
TX
Enumeration date
12/08/2006
Last updated
05/12/2009
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