Provider Demographics
NPI:1356592281
Name:DEBORAH E. GREENING, PHD, LP, PC
Entity type:Organization
Organization Name:DEBORAH E. GREENING, PHD, LP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:GREENING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:248-417-1181
Mailing Address - Street 1:3757 WARWICK DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-2803
Mailing Address - Country:US
Mailing Address - Phone:248-417-1181
Mailing Address - Fax:586-997-9635
Practice Address - Street 1:43157 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1955
Practice Address - Country:US
Practice Address - Phone:248-417-1181
Practice Address - Fax:586-997-9635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEBORAH E. GREENING, PHD, LP, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008082103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty