Provider Demographics
NPI:1386232452
Name:GREENFIELD, PATRICIA E (MFT INTERN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:E
Other - Last Name:GREENFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARTINEZ HURT
Mailing Address - Street 1:71 E PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7202
Mailing Address - Country:US
Mailing Address - Phone:702-265-4118
Mailing Address - Fax:
Practice Address - Street 1:7310 SMOKE RANCH RD ST. S
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-456-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVM13119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist