Doctor Name: | KELLY GREER |
NPI Number: | 1013217066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0701004889 |
Business Practice Address: | 336 S Wayne Ave Waynesboro, VA - 229804738 |
Business Phone Number: | 5409497045 |
Business Fax Number: | |
Mailing Address: | 911 E Jefferson St, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229025355 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/25/2010 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |