Provider Demographics
NPI:1295205854
Name:GREER, CHRISTIAAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAAN
Middle Name:
Last Name:GREER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MULBERRY STREET
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907
Mailing Address - Country:US
Mailing Address - Phone:917-683-5668
Mailing Address - Fax:
Practice Address - Street 1:58 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1712
Practice Address - Country:US
Practice Address - Phone:917-683-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022682103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist