Provider Demographics
NPI:1235240607
Name:MELIDONIS, GREER GRIERSON
Entity Type:Individual
Prefix:DR
First Name:GREER
Middle Name:GRIERSON
Last Name:MELIDONIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OMNI DR
Mailing Address - Street 2:CENTER FOR COLLABORATIVE PSYCHOLOGY
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4512
Mailing Address - Country:US
Mailing Address - Phone:908-359-2466
Mailing Address - Fax:908-359-0746
Practice Address - Street 1:105 OMNI DR
Practice Address - Street 2:CENTER FOR COLLABORATIVE PSYCHOLOGY
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4512
Practice Address - Country:US
Practice Address - Phone:908-359-2466
Practice Address - Fax:908-359-0746
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI03317103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist