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General NPI Number Information
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NPI Number | 1467800615
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Entity Type | Individual
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Provider Name | TAMMY GREGOROWICZ PHD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 189 MARKET ST
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City | KINGSTON
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State | PA
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Zip | 18704-5400
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Country | US
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Telephone | 570-961-3361
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Fax | 570-961-3364
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Provider Business Mailing Address
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Address Line | 86 OAK ST
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City | FORTY FORT
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State | PA
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Zip | 18704-4009
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Country | US
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Telephone | 570-793-0219
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Fax | 607-238-5222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS020043
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 022637
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC009386
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH000604
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License Number State | PA
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