Individual
SONIA M. GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 BEECHES LN STE 1, WOODSTOCK, CT 06281-3436
(860) 315-7722
Mailing address
PO BOX 696, WOODSTOCK, CT 06281-0696
(860) 315-7722
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2975
CT
103G00000X
Clinical Neuropsychologist
PS00844
RI
103T00000X
Psychologist
2975
CT
103T00000X
Psychologist
PS00844
RI
Other
Enumeration date
11/30/2006
Last updated
05/09/2010
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