Individual
GREGORY ALAN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.ED.
Contact information
Practice address
1417 PARKVIEW DR, ELIZABETH CITY, NC 27909-6533
(252) 338-4044
(252) 337-7928
Mailing address
PO BOX 189, ELIZABETH CITY, NC 27907-0189
(252) 338-4044
(252) 337-7928
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
864
NC
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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