Individual
DAVID GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP, CAADC
Contact information
Practice address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(248) 808-3875
(269) 350-5779
Mailing address
6418 HAMPTON ST, PORTAGE, MI 49024-2532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016924
MI
Other
Enumeration date
12/07/2015
Last updated
05/22/2023
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