Provider Demographics
NPI:1346232956
Name:GREENE, CATHERINE ANN (PHD)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:GREENE
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:256 N WITCHDUCK RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:757-497-3670
Mailing Address - Fax:757-499-1947
Practice Address - Street 1:256 N WITCHDUCK RD
Practice Address - Street 2:SUITE G
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-497-3670
Practice Address - Fax:757-499-1947
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2010-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0810002656103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
214434OtherCOMPSYCH MENTAL HEALTH
317231OtherPRIORITY HEALTH CARE INC
54-1951442OtherMAGELLAN BEHAVIORAL HEALT
VA680012574OtherMEDICARE RAILROAD
54-1951442OtherAETNA
54-1951442OtherBENESIGHT
A1795OtherMEDCOST
083769OtherPPO
317231OtherBCBS OF VA
317231OtherPENINSULA HEALTHCARE INC
54-1951442OtherCORVEL WC PROVIDER NETWOR
54-1951442OtherMIDATLANTIC HEALTH SOLUTI
54-1951442OtherUNITED BEHAVIORAL HEALTH
VA7702477Medicaid
032917OtherVALUEOPTIONS BEHAVIORAL
54-1951442OtherFOCUS WORKERS COMP
VA083769OtherSENTARA
VA54-1951442OtherPHYSICIAN NETWORK
VA54-1951442OtherHEALTH NETWORK
317231OtherBCBS OF VA
54-1951442OtherCORVEL WC PROVIDER NETWOR