Individual
RALPH E GREENE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
505 2ND ST, VANCEBURG, KY 41179-1008
(606) 796-3021
(606) 796-9881
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-8288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30608012
—
KY
Enumeration date
07/12/2006
Last updated
07/08/2007
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