Individual
DR. GORDON G GREENHALGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
211 LIVE OAK ST, NEW SMYRNA BEACH, FL 32168-7115
(386) 427-2241
(386) 427-2242
Mailing address
211 LIVE OAK ST, NEW SMYRNA BEACH, FL 32168-7115
(386) 427-2241
(386) 427-2242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MT0951
FL
Other
Enumeration date
01/17/2007
Last updated
08/25/2013
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