| Doctor Name: | BARBARA L GREVENGOED |
| NPI Number: | 1033252176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 6006 W 159th Street Oak Forest, IL - 60452 |
| Business Phone Number: | 7085357320 |
| Business Fax Number: | 7085357571 |
| Mailing Address: | 559 E 161st Pl, SOUTH HOLLAND |
| State: | IL |
| Postal Code: | 604731618 |
| Phone Number: | 7084746211 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |