Individual
GREGG M ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2756 POST RD, WARWICK, RI 02886-3003
(401) 691-6000
(401) 738-7718
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2363
(401) 456-6744
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
MD08688
RI
2084P0800X
Psychiatry Physician
Primary
MD08688
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004198
—
RI
Enumeration date
07/07/2005
Last updated
01/14/2010
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