Individual
DR. BRENDA IRENE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
234 RIVER DR, MASSENA, NY 13662-4106
(315) 514-1785
(315) 514-1785
Mailing address
234 RIVER DR, MASSENA, NY 13662-4106
(315) 514-1785
(315) 514-1785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099638
CIGNA BEHAVIORAL HEALTH
MN
01
—
6804763
VALUE OPTIONS GHI
NY
Enumeration date
12/01/2006
Last updated
10/19/2021
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