Individual
THERESA DORIS GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LSW
Contact information
Practice address
9900 CINCINNATI COLUMBUS ROAD, CINCINNATI, OH 45241-1209
(513) 779-9955
(513) 779-9955
Mailing address
9900 CINCINNATI COLUMBUS ROAD, CINCINNATI, OH 45241-1209
(513) 779-9955
(513) 779-9955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
S0010582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1219614
CHA
—
01
—
307553
MHN
—
Enumeration date
08/23/2006
Last updated
07/08/2007
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