Provider Demographics
NPI:1730120031
Name:GREER, TERESA W (MD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:W
Last Name:GREER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-0899
Mailing Address - Country:US
Mailing Address - Phone:401-364-7705
Mailing Address - Fax:401-364-3310
Practice Address - Street 1:4705A OLD POST RD
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-1819
Practice Address - Country:US
Practice Address - Phone:401-364-7705
Practice Address - Fax:401-364-3310
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD110132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI99394OtherCIGNA
RI7059294OtherMEDICARE
RI7010216Medicaid
RI15-58031OtherUNITED BEHAVIORAL HEALTH
RI1730120031OtherMHN
RI1730120031OtherTRICARE
RI30557-2OtherBLUE CROSS
RI410129OtherBLUE CHIP
RI199491OtherMHN PROVIDER NUMBER
BG0341747OtherDEA REGISTRATION
RI199491OtherMHN PROVIDER NUMBER
RI1730120031OtherTRICARE