| Doctor Name: | DR. DIANE M. GREENE |
| NPI Number: | 1093934812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1988 |
| Business Practice Address: | 147 Wallis Rd Chestnut Hill, MA - 024673112 |
| Business Phone Number: | 6175225553 |
| Business Fax Number: | 5083492911 |
| Mailing Address: | 15 Pheasant Run, WELLFLEET |
| State: | MA |
| Postal Code: | 026677027 |
| Phone Number: | 5083490439 |
| Fax Number: | 5083492911 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 1988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |