Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1836 | CT |
N | 103T00000X | Psychologist | 1836 | CT |
Y | 103G00000X | Clinical Psychologist | 010648 | NY |
Y | 103TC0700X | Clinical Psychologist | 010648 | NY |
NPI | 1003972324 |
---|---|
Provider Name | Dr. Ann Greenberg |
First Address | Greenwich, CT 06830-7230 |
Second Address | Spring Valley, NY 10977-5474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 08/05/2019 |