| Doctor Name: | GREGORY DICKINSON |
| NPI Number: | 1093703266 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PCC |
| License Number: | E-0003724 |
| Business Practice Address: | 2675 Oakwood Dr Cuyahoga Falls, OH - 442212648 |
| Business Phone Number: | 3309402522 |
| Business Fax Number: | 3309403366 |
| Mailing Address: | 2675 Oakwood Dr, CUYAHOGA FALLS |
| State: | OH |
| Postal Code: | 442212648 |
| Phone Number: | 3309402522 |
| Fax Number: | 3309403366 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E-0003724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |