Doctor Name: | AMANDA GREIG |
NPI Number: | 1013330356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401013080 |
Business Practice Address: | 3282 Albert Ave Apt 813 Royal Oak, MI - 480736841 |
Business Phone Number: | 8104299161 |
Business Fax Number: | |
Mailing Address: | 3282 Albert Ave Apt 813, ROYAL OAK |
State: | MI |
Postal Code: | 480736841 |
Phone Number: | 8104299161 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |