Balogh, Gretchen

Balogh, Gretchen is an individual health care provider with primary practice located at 2711 W 15Th St , Panama City FL 32401-1366. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Balogh, Gretchen can be contacted via phone (850) 769-6001.

Contact Information

Primary practice address
2711 W 15Th St Panama City FL 32401-1366
Phone: (850) 769-6001
Fax: (850) 769-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 1321 Florida

Profile Details

NPI number 1568538122
LBN Legal business name Balogh, Gretchen
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 21st, 2022 - about 4 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 1568538122 NPPES
Florida MEDICAID 767940800

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