Dr. Diane M. Greene
Clinical Child & Adolescent Psychologist
147 Wallis Rd
Chestnut Hill
, Massachusetts 02467-3112
Dr. Diane M. Greene
Clinical Child & Adolescent Psychologist
147 Wallis Rd
Chestnut Hill
, Massachusetts 02467-3112
(508) 349-2911
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diane M. Greene
- 15 Pheasant Run
- Wellfleet, MA
- Zip : 02667-7027
- Fax : (508) 349-2911
- Phone : (508) 349-0439
Second Address
- Dr. Diane M. Greene
- 147 Wallis Rd
- Chestnut Hill, MA
- Zip : 02467-3112
- Fax : (508) 349-2911
- Phone : (617) 522-5553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1988 | MA |
National Provider Identifier
| NPI | 1093934812 |
|---|---|
| Provider Name | Dr. Diane M. Greene |
| First Address | Wellfleet, MA 02667-7027 |
| Second Address | Chestnut Hill, MA 02467-3112 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0505196 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.