Obert, Gregory
Obert, Gregory is an individual health care provider with primary practice located at 7570 Old Canton Rd Ste 102 , Madison MS 39110-6100. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Obert, Gregory can be contacted via phone (601) 809-5324.Contact Information
Primary practice address
7570 Old Canton Rd Ste 102
Madison MS 39110-6100
Phone: (601) 809-5324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180013378 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 641183 | Mississippi |
Profile Details
| NPI number | 1063863629 |
|---|---|
| LBN Legal business name | Obert, Gregory |
| Credentials | PH.D., LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2016 |
| Last updated | Jan 17th, 2024 - about 2 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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