Provider Demographics
NPI:1265265516
Name:ALLEYNE-GREEN, BINTA (PHD)
Entity type:Individual
Prefix:DR
First Name:BINTA
Middle Name:
Last Name:ALLEYNE-GREEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 MAIN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2006
Mailing Address - Country:US
Mailing Address - Phone:646-300-0269
Mailing Address - Fax:
Practice Address - Street 1:612 MAIN ST STE 220
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2006
Practice Address - Country:US
Practice Address - Phone:646-300-0269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0249941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical