Provider Demographics
NPI:1073555702
Name:GREENE, JOANNE (AUD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 BARKER DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6348
Mailing Address - Country:US
Mailing Address - Phone:484-354-7256
Mailing Address - Fax:
Practice Address - Street 1:774 CHRISTIANA RD
Practice Address - Street 2:NEUROSCIENCE BLDG SUITE B4
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4236
Practice Address - Country:US
Practice Address - Phone:302-266-2449
Practice Address - Fax:302-266-2450
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE020000143231H00000X
PAAT005943231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEO20000211OtherSTATE LICENSE