Doctor Name: | GREGORY ALLEN |
NPI Number: | 1013933811 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | C000474 |
Business Practice Address: | 209 Millstone Dr Suite A Hillsborough, NC - 272788776 |
Business Phone Number: | 9192455400 |
Business Fax Number: | |
Mailing Address: | Po Box 1630, PINEHURST |
State: | NC |
Postal Code: | 283701630 |
Phone Number: | 9102956007 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C000474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |