Provider Demographics
NPI:1114028784
Name:JOHN F GREGORY PHD INC
Entity Type:Organization
Organization Name:JOHN F GREGORY PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-657-4324
Mailing Address - Street 1:1001 EASTON ROAD
Mailing Address - Street 2:REGENCY TOWERS 102M
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:215-657-4324
Mailing Address - Fax:215-657-4324
Practice Address - Street 1:1001 EASTON ROAD
Practice Address - Street 2:REGENCY TOWERS 102M
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090
Practice Address - Country:US
Practice Address - Phone:215-657-4324
Practice Address - Fax:215-657-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty