Doctor Name: | DR. GREGORY PATRICK MORIN |
NPI Number: | 1588727325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 4098-PR |
Business Practice Address: | 4 Greenbriar Dr Ste 102 North Reading, MA - 018643148 |
Business Phone Number: | 9786644112 |
Business Fax Number: | 9789664112 |
Mailing Address: | 4 Greenbriar Dr, Ste 102 NORTH READING |
State: | MA |
Postal Code: | 018643148 |
Phone Number: | 9786644112 |
Fax Number: | 9789664112 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4098-PR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |