Provider Demographics
NPI:1568793933
Name:GREENBERG, KAREN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9300 FOREST POINT CIR
Mailing Address - Street 2:SUITE 174
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4765
Mailing Address - Country:US
Mailing Address - Phone:703-392-1030
Mailing Address - Fax:703-257-5088
Practice Address - Street 1:9300 FOREST POINT CIR
Practice Address - Street 2:SUITE 174
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4765
Practice Address - Country:US
Practice Address - Phone:703-392-1030
Practice Address - Fax:703-257-5088
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904002901102L00000X, 103TF0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic