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NPI Code Detail

MEDICARE: DR. GREGORY LOUIS UPTON PSY.D.

MEDICARE: DR. GREGORY LOUIS UPTON PSY.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPY60045077WA

General Provider Information

NPI Number : 1447582481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY LOUIS UPTON PSY.D.
Provider Business Mailing Address
First Line : 8549 S 120TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98178-4521
Country : US
Telephone Number : 206-801-1408
Fax Number :
Provider Business Practice Location Address
First Line : 8549 S 120TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98178-4521
Country : US
Telephone Number : 206-801-1408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2010
Last Update Date : 10/13/2023

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