Provider Demographics
NPI:1093070013
Name:HANLEY, GREGORY P (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:P
Last Name:HANLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2032
Mailing Address - Country:US
Mailing Address - Phone:785-424-4037
Mailing Address - Fax:
Practice Address - Street 1:8 CROSS ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2032
Practice Address - Country:US
Practice Address - Phone:785-424-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst