Provider Demographics
NPI:1295958189
Name:GREENSPAN, MONTE LANCE (LCSW)
Entity type:Individual
Prefix:MR
First Name:MONTE
Middle Name:LANCE
Last Name:GREENSPAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:MONTE
Other - Middle Name:LANCE
Other - Last Name:GREENSPAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13112 HADLEY ST.
Mailing Address - Street 2:SUITE 106-A
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601
Mailing Address - Country:US
Mailing Address - Phone:562-693-2910
Mailing Address - Fax:
Practice Address - Street 1:13112 HADLEY ST
Practice Address - Street 2:SUITE 106-A
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4529
Practice Address - Country:US
Practice Address - Phone:562-693-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS16692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health