Hupp, Gregory S
Hupp, Gregory S is an sole proprietor health care provider with primary practice located at 650 State Highway 16 S , Bandera TX 78003-3809. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hupp, Gregory S can be contacted via phone (866) 679-7901.Contact Information
Primary practice address
650 State Highway 16 S
Bandera TX 78003-3809
Phone: (866) 679-7901
Fax: (866) 541-9162
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 31593 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31593 | Texas |
Profile Details
NPI number | 1962499814 |
---|---|
LBN Legal business name | Hupp, Gregory S |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2005 |
Last updated | Apr 18th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962499814 | NPPES |
Texas | MEDICAID | 178235101 | |
Texas | Other | 0036MX |
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