Individual
DR. MITCHELL ANDREW GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
121 N WAYNE AVE, SUITE 300, WAYNE, PA 19087-3542
(610) 875-9435
(610) 975-9851
Mailing address
121 N WAYNE AVE, SUITE 300, WAYNE, PA 19087-3542
(610) 875-9435
(610) 975-9851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008733L
PW
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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