Provider Demographics
NPI:1134397748
Name:GREENSLIT, DEBORAH LEE (LMHC, RN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:GREENSLIT
Suffix:
Gender:F
Credentials:LMHC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 POMMOGUSSETT RD
Mailing Address - Street 2:UNIT 8
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1461
Mailing Address - Country:US
Mailing Address - Phone:774-234-0090
Mailing Address - Fax:
Practice Address - Street 1:32 POMMOGUSSETT RD
Practice Address - Street 2:UNIT 8
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1461
Practice Address - Country:US
Practice Address - Phone:774-234-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-16
Last Update Date:2008-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALM0649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health