Gregory Pouliot, PHD

NPI #1336549328 in South Bend, Indiana

Provider Information

NPI Number: 1336549328
Entity Type: Individual
Name: Gregory Pouliot, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Aug 27, 2014
Last Updated: Mar 31, 2021

Practice Location

Address: 714 N MICHIGAN ST
City: South Bend
State: Indiana
ZIP Code: 46601-1035
Phone: (574) 647-7477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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