Provider Demographics
NPI:1669861613
Name:DONIHOO, GREGORY BENJAMIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:BENJAMIN
Last Name:DONIHOO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 W. HUNT STREET BUILDING B
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069
Mailing Address - Country:US
Mailing Address - Phone:214-903-4959
Mailing Address - Fax:
Practice Address - Street 1:1833 W. HUNT STREET BUILDING B
Practice Address - Street 2:SUITE 203
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:214-903-4959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77283101YM0800X, 106H00000X
TX203560106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health