| NPI | 1689898272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R GREGG President Clinical Psychologist 262-780-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2195) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |