Provider Demographics
NPI:1427405430
Name:GREGA, CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:GREGA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E 69TH ST APT 1M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5453
Mailing Address - Country:US
Mailing Address - Phone:212-517-9041
Mailing Address - Fax:
Practice Address - Street 1:219 E 69TH ST APT 1M
Practice Address - Street 2:APT. 3F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5453
Practice Address - Country:US
Practice Address - Phone:212-517-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011786103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist