Individual
LES R GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
35 LAUREL RD, HAMDEN, CT 06517-4019
(203) 562-9214
Mailing address
35 LAUREL RD, HAMDEN, CT 06517-4019
(203) 562-9214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1055
CT
Other
Enumeration date
07/31/2006
Last updated
07/27/2007
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