Individual
CAROLYN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(917) 579-0943
Mailing address
200 SPRINGS RD RM 212, BEDFORD, MA 01730-1114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020737
NY
Other
Enumeration date
09/05/2014
Last updated
10/03/2017
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