Individual
DR. MARIE GREENSPAN
Active
Individual
DR. MARIE GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSCP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1142
NM
103TC0700X
Clinical Psychologist
6301003263
MI
103TP0016X
Prescribing (Medical) Psychologist
Primary
0038
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52225755
—
NM
Enumeration date
08/18/2005
Last updated
02/15/2022
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