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Individual

DR. STEPHEN S. GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
49 OAK ST, AUGUSTA, ME 04330-5118
(207) 649-4046
(207) 622-6290
Mailing address
138 PRIEST HILL RD, VASSALBORO, ME 04989-3305
(207) 649-4046
(207) 861-7420

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1024
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191060100
ME
01
ME025902
MEDICARE
ME
Enumeration date
12/04/2006
Last updated
11/26/2012
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