Individual
DR. AUDREY RAE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4805 MONTGOMERY RD, CINCINNATI, OH 45212-2198
(513) 241-2370
Mailing address
12867 HUNTSMAN LAKE DR, SAN ANTONIO, TX 78249-4476
(208) 731-2619
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
10/11/2018
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