Individual
DR. ROBERT J GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5190 26TH ST W STE F, BRADENTON, FL 34207-2200
(941) 753-1686
(941) 753-9797
Mailing address
5190 26TH ST W STE F, BRADENTON, FL 34207-2200
(941) 753-1686
(941) 753-9797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592332042001
MEDICAL MUTUAL
FL
01
—
6887368
GHI
FL
01
—
75102
BCBS
FL
Enumeration date
03/02/2007
Last updated
11/09/2010
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