Gregory Leo Gullickson
Counseling Psychologist
7 Stuit Hall
Iowa City
, Iowa 52242
Gregory Leo Gullickson
Counseling Psychologist
7 Stuit Hall
Iowa City
, Iowa 52242
(319) 353-2919
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Gregory Leo Gullickson
- G60 Pbsb 340 Iowa Ave.
- Iowa City, IA
- Zip : 52242
- Fax : (319) 353-2919
- Phone : (319) 335-2468
Second Address
- Gregory Leo Gullickson
- 7 Stuit Hall
- Iowa City, IA
- Zip : 52242
- Fax : (319) 353-2919
- Phone : (319) 335-2467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 00772 | IA |
National Provider Identifier
| NPI | 1023120276 |
|---|---|
| Provider Name | Gregory Leo Gullickson |
| First Address | Iowa City, IA 52242 |
| Second Address | Iowa City, IA 52242 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 06/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31191 | BCBS IA (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.