Individual
MS. GRETE MARIE LAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
36 WELWYN RD, RIVERSIDE, CT 06878-2413
(203) 637-2134
(203) 637-1501
Mailing address
36 WELWYN RD, RIVERSIDE, CT 06878-2413
(203) 637-2134
(203) 637-1501
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO21595
REGISTRATION NUMBER NAAP
NY
Enumeration date
05/15/2007
Last updated
07/08/2007
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