DR. Gary L. Grogan, PHD

NPI #1508264995 in Lewiston, Idaho

Provider Information

NPI Number
1508264995
Entity Type
Individual
Name
DR. Gary L. Grogan, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Dec 17, 2014
Last Updated
Jul 21, 2022

Practice Location

Address
633 MAIN STREET
Address 2
B#1
State
Idaho
ZIP Code
83501
Phone
(208) 724-0489

Specialties & Taxonomy Codes

Specialty
Psychologist

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