Individual
DR. JAMELLE GARDINE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22 CARRIAGE LN, SOUTH HADLEY, MA 01075-2198
(508) 330-0413
Mailing address
22 CARRIAGE LN, SOUTH HADLEY, MA 01075-2198
(508) 330-0413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9349
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9349
MA
Other
Enumeration date
06/07/2012
Last updated
01/15/2021
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