Shelley Falkin Gregg

NPI #1629157987 in Peoria, Illinois

Provider Information

NPI Number: 1629157987
Entity Type: Individual
Name: Shelley Falkin Gregg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7317 N WILLOW LAKE CT
City: Peoria
State: Illinois
ZIP Code: 61614-8260
Phone: (309) 683-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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