Individual
DR. GREGORY GUY NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11293 N M-37, SUITE A, BUCKLEY, MI 49620-0001
(231) 933-4268
(231) 269-4461
Mailing address
5989 S SCHOMBERG RD, CEDAR, MI 49621-9703
(231) 933-4268
(231) 269-4461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
63010005865
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038901
VALUE OPTIONS
MI
01
—
11284829
CAQH
MI
01
—
382935998
MAGELLAN BEHAVIORAL HEALT
MI
Enumeration date
12/03/2005
Last updated
03/17/2019
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