| Doctor Name: | GREGORY H MADDOX |
| NPI Number: | 1245369248 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 3581 |
| Business Practice Address: | 124 E Office St Harrodsburg, KY - 403301606 |
| Business Phone Number: | 8592531686 |
| Business Fax Number: | |
| Mailing Address: | 1351 Newtown Pike, LEXINGTON |
| State: | KY |
| Postal Code: | 405111275 |
| Phone Number: | 8592531686 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |