Provider Demographics
NPI:1376023903
Name:GREENE, LINDA (CACAD, PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:CACAD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CHESTNUT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2191
Mailing Address - Country:US
Mailing Address - Phone:301-527-0854
Mailing Address - Fax:240-243-1061
Practice Address - Street 1:101 CHESTNUT ST STE 110
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2191
Practice Address - Country:US
Practice Address - Phone:301-527-0854
Practice Address - Fax:240-243-1061
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)