| Doctor Name: | DR. MARIE GREENSPAN |
| NPI Number: | 1184616765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 6301003263 |
| Business Practice Address: | 10110 South 7650 East Crow Agency, MT - 59022 |
| Business Phone Number: | 4066383495 |
| Business Fax Number: | 4066383431 |
| Mailing Address: | 10110 South 7650 East, CROW AGENCY |
| State: | MT |
| Postal Code: | 59022 |
| Phone Number: | 4066383495 |
| Fax Number: | 4066383431 |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 09/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301003263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |