Individual
DOUGLAS GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Mailing address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1999140386
MO
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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