Individual
DR. THERESA GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19 N 5TH AVE, BEECH GROVE, IN 46107-1325
(317) 696-4742
Mailing address
19 N 5TH AVE, BEECH GROVE, IN 46107-1325
(317) 696-4742
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
99048259A
IN
103T00000X
Psychologist
99048259A
IN
103TA0700X
Adult Development & Aging Psychologist
99048259A
IN
103TC0700X
Clinical Psychologist
Primary
99048259A
IN
103TH0004X
Health Psychologist
99048259A
IN
103TR0400X
Rehabilitation Psychologist
99048259A
IN
Other
Enumeration date
08/16/2011
Last updated
07/16/2026
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