Prichett, Gregory D

Prichett, Gregory D is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Prichett, Gregory D can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1762 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1762 Wisconsin

Profile Details

NPI number 1588668958
LBN Legal business name Prichett, Gregory D
Credentials Licensed Psychologist (PSY)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 21st, 2014 - about 11 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 1588668958 NPPES
Wisconsin MEDICAID 39103500

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