Provider Demographics
NPI:1851672869
Name:DONNA GREIFER LLC
Entity Type:Organization
Organization Name:DONNA GREIFER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:GREIFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-987-0170
Mailing Address - Street 1:455 DOUGLAS AVE
Mailing Address - Street 2:2155-30
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2569
Mailing Address - Country:US
Mailing Address - Phone:305-987-0170
Mailing Address - Fax:407-401-9023
Practice Address - Street 1:455 DOUGLAS AVE
Practice Address - Street 2:2155-30
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2569
Practice Address - Country:US
Practice Address - Phone:305-987-0170
Practice Address - Fax:407-401-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5535103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54183Medicare PIN