Provider Demographics
NPI:1235158726
Name:JOINER, GREGORY WADE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:WADE
Last Name:JOINER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3709 19TH ST
Mailing Address - Street 2:SUITE 341
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1204
Mailing Address - Country:US
Mailing Address - Phone:806-786-7115
Mailing Address - Fax:806-796-0506
Practice Address - Street 1:2402 52ND ST STE 6
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2548
Practice Address - Country:US
Practice Address - Phone:806-797-7100
Practice Address - Fax:806-797-7101
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31113103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical