Gullickson, Gregory Leo

Gullickson, Gregory Leo is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gullickson, Gregory Leo can be contacted via phone (319) 356-4200.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-4200
Fax: (319) 353-8383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 00314 Iowa
Behavioral Health & Social Service Providers / Counseling 103TC1900X 00772 Iowa
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 00314 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00314 Iowa

Profile Details

NPI number 1023120276
LBN Legal business name Gullickson, Gregory Leo
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 10th, 2023 - about 2 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 1023120276 NPPES
Iowa Other 31191 BCBS IA

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