Individual
DR. BARNEY GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1302 E GREEN HAVEN ST, MERIDIAN, ID 83646-5935
(208) 855-9133
Mailing address
1302 E GREEN HAVEN ST, MERIDIAN, ID 83646-5935
(208) 855-9133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY202134
ID
103TC0700X
Clinical Psychologist
Primary
PSY202134
ID
103TC2200X
Clinical Child & Adolescent Psychologist
PSY202134
ID
103TF0000X
Family Psychologist
PSY202134
ID
103TP0814X
Psychoanalysis Psychologist
PSY202134
ID
Other
Enumeration date
10/25/2006
Last updated
12/13/2017
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