Individual
DANA M GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
521 OXFORD PL, LOUISVILLE, KY 40207-3744
(502) 836-9751
Mailing address
521 OXFORD PL, LOUISVILLE, KY 40207-3744
(502) 836-9751
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
05/09/2007
Last updated
02/19/2025
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