Provider Demographics
NPI:1134408933
Name:ANDREW SCOTT GREER, PHD
Entity type:Organization
Organization Name:ANDREW SCOTT GREER, PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:707-443-2580
Mailing Address - Street 1:350 E ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0357
Mailing Address - Country:US
Mailing Address - Phone:707-443-2580
Mailing Address - Fax:888-754-8471
Practice Address - Street 1:350 E ST
Practice Address - Street 2:SUITE 202
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0357
Practice Address - Country:US
Practice Address - Phone:707-443-2580
Practice Address - Fax:888-754-8471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10454103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty