MEDICARE: DR. GRETCHEN J TORBERT PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	GA
2	1744P3200X	Prosthetics Case Management	GA
3	225X00000X	Occupational Therapist	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558210492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRETCHEN J TORBERT PH.D.

Provider Business Mailing Address
First Line	:	1520 RIVERGLEN DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9012
Country	:	US
Telephone Number	:	770-289-2302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 RIVERGLEN DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9012
Country	:	US
Telephone Number	:	770-289-2302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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