Individual
CONNIE J GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
801 TWELVE OAKS CENTER DR, WAYZATA, MN 55391-4601
(763) 476-8244
(763) 475-6730
Mailing address
17940 3RD AVE N, PLYMOUTH, MN 55447-3475
(763) 476-8244
(763) 475-6730
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3214
MN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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