Individual
CHARLES A GREENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
5910 SHINGLE CREEK PKWY STE 150, BROOKLYN CENTER, MN 55430-2324
(763) 569-5200
(763) 569-5201
Mailing address
11421 LIVE OAK DR, MINNETONKA, MN 55305-2589
(612) 593-0864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3049
MN
Other
Enumeration date
05/31/2006
Last updated
07/02/2020
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