Doctor Name: | JOHN E. GREENWOOD |
NPI Number: | 1508889056 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., L.P.C. |
License Number: | 2364-125 |
Business Practice Address: | 120 S Mill St Merrill, WI - 544522534 |
Business Phone Number: | 7155364440 |
Business Fax Number: | 7155362736 |
Mailing Address: | Po Box 146, MERRILL |
State: | WI |
Postal Code: | 544520146 |
Phone Number: | 7155364440 |
Fax Number: | 7155362736 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2364-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |