| Janolyn Gregg Phd Pa | |
|
1625 N Commerce Pkwy Suite 200 Weston FL 33326-3216 | |
| (954) 385-0353 | |
| (954) 389-0886 |
| Full Name | Janolyn Gregg Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1625 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Janolyn Gregg (PRESIDENT) |
| Authorized Official Contact | 9543850353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janolyn Gregg Phd Pa 1625 N Commerce Pkwy Suite 200 Weston FL 33326-3216 Ph: (954) 385-0353 | Janolyn Gregg Phd Pa 1625 N Commerce Pkwy Suite 200 Weston FL 33326-3216 Ph: (954) 385-0353 |
| NPI Number | 1407064462 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 2769797299 |
|---|---|
| Medicare Enrollment ID | O20150813009382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407064462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4483 (Florida) | Primary |
| Provider Name | Janolyn S Gregg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407912363 PECOS PAC ID: 9234131277 Enrollment ID: I20070205000442 |
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