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Individual

LAURENCE JOSEPH GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
D0030248
MD
103TC1900X
Counseling Psychologist
D0030248
MD
103TC2200X
Clinical Child & Adolescent Psychologist
D0030248
MD
103TF0000X
Family Psychologist
D0030248
MD
2084P0800X
Psychiatry Physician
Primary
D0030248
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403234900
MD
Enumeration date
07/05/2006
Last updated
07/15/2023
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