Provider Demographics
NPI:1588727325
Name:MORIN, GREGORY PATRICK (PHD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:PATRICK
Last Name:MORIN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:4 GREENBRIAR DR
Mailing Address - Street 2:STE 102
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-3148
Mailing Address - Country:US
Mailing Address - Phone:978-664-4112
Mailing Address - Fax:978-966-4112
Practice Address - Street 1:4 GREENBRIAR DR
Practice Address - Street 2:STE 102
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-3148
Practice Address - Country:US
Practice Address - Phone:978-664-4112
Practice Address - Fax:978-966-4112
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4098-PR103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical