| Doctor Name: | DR. WAYNE ALAN GREGORY |
| NPI Number: | 1285729731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 34661 |
| Business Practice Address: | 15035 Badger Ranch Blvd Woodway, TX - 767128829 |
| Business Phone Number: | 2547760578 |
| Business Fax Number: | |
| Mailing Address: | 1202 Fall Creek Loop, CEDAR PARK |
| State: | TX |
| Postal Code: | 786135817 |
| Phone Number: | 2547169301 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 34661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |