Individual
DR. DEBORAH FAY GREENWALD
Active
Individual
DR. DEBORAH FAY GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. CLINICAL PSYCH
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2409
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170824
MAGELLAN (MBC)
MA
01
—
2409
PSYCHOLOGIST LICENSE-HSP
MA
01
—
W02546
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/04/2006
Last updated
07/08/2007
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