Provider Demographics
NPI:1437343456
Name:NAYLOR, GREGORY R (MFT)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:R
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2167
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-2167
Mailing Address - Country:US
Mailing Address - Phone:530-891-6438
Mailing Address - Fax:530-891-0921
Practice Address - Street 1:1351 THE ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3330
Practice Address - Country:US
Practice Address - Phone:530-891-6438
Practice Address - Fax:530-891-0921
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41377106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist