Individual
PATRICIA A GREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017208
NY
103TC0700X
Clinical Psychologist
002865
CT
103TC0700X
Clinical Psychologist
Primary
PS017644
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02903506
—
NY
Enumeration date
05/05/2006
Last updated
08/07/2025
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