Provider Demographics
NPI:1720279839
Name:CORTEZ-GREIG, BARBARA (MA, MSW, BC-DMT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:CORTEZ-GREIG
Suffix:
Gender:F
Credentials:MA, MSW, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-1321
Mailing Address - Country:US
Mailing Address - Phone:413-320-9930
Mailing Address - Fax:
Practice Address - Street 1:1024 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-1321
Practice Address - Country:US
Practice Address - Phone:413-320-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2017-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
BC-DMT-915225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health