Gregorisch, Eric

Gregorisch, Eric is an sole proprietor health care provider with primary practice located at 3839 W Kennedy Blvd Suite One, Tampa FL 33609-2719. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gregorisch, Eric can be contacted via phone (813) 350-9490.

Contact Information

Primary practice address
3839 W Kennedy Blvd Suite One Tampa FL 33609-2719
Phone: (813) 350-9490
Fax: (813) 877-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1697 Florida

Profile Details

NPI number 1033273651
LBN Legal business name Gregorisch, Eric
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated May 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033273651 NPPES
Florida Other MT1697 MARRIAGE COUNSELOR
Florida MEDICAID 767457100 MARRIAGE COUNSELOR

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