Provider Demographics
NPI:1811912850
Name:GREGORY, JANET V (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:V
Last Name:GREGORY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 WINDHAM LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3276
Mailing Address - Country:US
Mailing Address - Phone:630-637-3805
Mailing Address - Fax:630-637-3807
Practice Address - Street 1:610 WINDHAM LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3276
Practice Address - Country:US
Practice Address - Phone:630-637-3805
Practice Address - Fax:630-637-3807
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS146041041C0700X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical