Doctor Name: | MISS MARTA GREER |
NPI Number: | 1063818664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 11137215 |
Business Practice Address: | 3887 Walt Stephens Rd Stockbridge, GA - 302814222 |
Business Phone Number: | 7703716191 |
Business Fax Number: | |
Mailing Address: | 3887 Walt Stephens Rd, STOCKBRIDGE |
State: | GA |
Postal Code: | 302814222 |
Phone Number: | 7703716191 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2014 |
NPI Last Update Date: | 11/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | 11137215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |