Provider Demographics
NPI:1649619362
Name:GREENLEE PSYCHOLOGICAL AND SUPPORT SERVICES, PLLC
Entity type:Organization
Organization Name:GREENLEE PSYCHOLOGICAL AND SUPPORT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE-GREENLEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LICENSED PSYCH
Authorized Official - Phone:919-824-5743
Mailing Address - Street 1:5850 FAYETTEVILLE RD. STE 211
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5577
Mailing Address - Country:US
Mailing Address - Phone:919-294-8981
Mailing Address - Fax:919-999-2497
Practice Address - Street 1:5850 FAYETTEVILLE RD. STE 211
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5577
Practice Address - Country:US
Practice Address - Phone:919-294-8981
Practice Address - Fax:919-999-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-15
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty