Individual
DR. AMANDA JOY GREGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 W NATIONAL AVE, ROOM 3119, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE # 3328, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3364
WI
103TC1900X
Counseling Psychologist
Primary
2927-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2927-57
WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
01
—
3364
LICENSED PROF. COUNSELOR
WI
05
—
40958700
—
WI
Enumeration date
03/12/2007
Last updated
03/03/2020
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