Gregory Leo Gullickson PH D

NPI 1023120276 - Psychologist - 103TC1900X

NPI Details
NPI 1023120276
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
209 EAST WASHINGTON STREET
SUITE 202
IOWA CITY IA, 52240-3928, US
Phone (319) 354-3232
Fax (319) 354-2990
Business Location
209 EAST WASHINGTON STREET
SUITE 202
IOWA CITY IA, 52240-3928, US
Phone (319) 354-3232
Fax (319) 354-2990
Toxanomy
Taxonomy Code 103TC1900X
License State Iowa
License Number 00772
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According to our database, Gregory Leo Gullickson PH D NPI is 1023120276, taxonomy code is 103TC1900X and license number is 00772, license state is located at Iowa. Gregory Leo Gullickson PH D physically located at 209 East Washington Street, Iowa City IA, 52240-3928. NPI Number Gregory Leo Gullickson PH D has the Individual type.

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1023120276 NPI number is provided on an as is basis without warranty of any kind. 1023120276 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Leo Gullickson PH D are for informational purposes only.