Organization Name: | PAUL E GREENFIELD |
NPI Number: | 1093922742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL E GREENFIELD (OWNER) |
Mailing Address: | 6 Essex Center Dr Suite 107 Peabody |
State: | MA US |
Postal Code: | 01960 |
Phone Number: | 9785327588 |
Fax Number: | 9785322494 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |