Mickey, Lamar Gregory

Mickey, Lamar Gregory is an sole proprietor health care provider with primary practice located at 14360 Saint Andrews Dr Ste 11 , Victorville CA 92395-4341. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mickey, Lamar Gregory can be contacted via phone (760) 243-5417.

Contact Information

Primary practice address
14360 Saint Andrews Dr Ste 11 Victorville CA 92395-4341
Phone: (760) 243-5417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548466790
LBN Legal business name Mickey, Lamar Gregory
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Mar 30th, 2009 - about 17 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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