| Doctor Name: | MRS. TERESE TANSKI GREGG |
| NPI Number: | 1053320846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | ISW01098 |
| Business Practice Address: | 23 North Rd A13 Peace Dale, RI - 028792176 |
| Business Phone Number: | 4012185505 |
| Business Fax Number: | 4017892109 |
| Mailing Address: | 23 North Rd, A13 PEACE DALE |
| State: | RI |
| Postal Code: | 028792176 |
| Phone Number: | 4012185505 |
| Fax Number: | 4017892109 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ISW01098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |