| Doctor Name: | COLLEEN GRECO |
| NPI Number: | 1659741197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 70561 |
| Business Practice Address: | 3350 Olive Ave Signal Hill, CA - 907554620 |
| Business Phone Number: | 5624241869 |
| Business Fax Number: | 5626832686 |
| Mailing Address: | 3350 Olive Ave, SIGNAL HILL |
| State: | CA |
| Postal Code: | 907554620 |
| Phone Number: | 5624241869 |
| Fax Number: | 5626832686 |
| NPI Enumeration Date: | 09/27/2015 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 70561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |