Provider Demographics
NPI:1417126368
Name:GREENE, WHITNEY LAUREN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LAUREN
Last Name:GREENE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-5455
Mailing Address - Country:US
Mailing Address - Phone:256-352-2052
Mailing Address - Fax:
Practice Address - Street 1:420 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:HANCEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35077-5455
Practice Address - Country:US
Practice Address - Phone:256-352-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2705235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist