| Doctor Name: | DR. GREGORIO A FEBBRARO |
| NPI Number: | 1689779654 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 710 |
| Business Practice Address: | 6959 University Ave Windsor Heights, IA - 503241540 |
| Business Phone Number: | 5152431020 |
| Business Fax Number: | 5158831946 |
| Mailing Address: | 6959 University Ave, WINDSOR HEIGHTS |
| State: | IA |
| Postal Code: | 503241540 |
| Phone Number: | 5152431020 |
| Fax Number: | 5158831946 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 09/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 710 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |