Provider Demographics
NPI:1336487099
Name:GREER, STEVEN EDWIN
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWIN
Last Name:GREER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NE LOOP 820
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4634
Mailing Address - Country:US
Mailing Address - Phone:817-595-4400
Mailing Address - Fax:817-595-0671
Practice Address - Street 1:700 NE LOOP 820
Practice Address - Street 2:SUITE 201
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4634
Practice Address - Country:US
Practice Address - Phone:817-595-4400
Practice Address - Fax:817-595-0671
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-1724103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical