Provider Demographics
NPI:1609174184
Name:PRICE, GREGORY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:E
Last Name:PRICE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10001 DEREKWOOD LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4804
Mailing Address - Country:US
Mailing Address - Phone:301-306-4590
Mailing Address - Fax:301-306-4591
Practice Address - Street 1:10001 DEREKWOOD LN
Practice Address - Street 2:SUITE 120
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4804
Practice Address - Country:US
Practice Address - Phone:301-306-4590
Practice Address - Fax:301-306-4591
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPSY1538103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical