Individual
MS. THERESA MARIE GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
494 S EMERSON AVE STE C, GREENWOOD, IN 46143-1953
(937) 776-5012
(317) 889-3902
Mailing address
494 S EMERSON AVE, STE C, GREENWOOD, IN 46143-1953
(937) 776-5012
(317) 889-3902
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
11/29/2016
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