Provider Demographics
NPI:1720431869
Name:GREER, RAYMOND CHARLES DANIEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CHARLES DANIEL
Last Name:GREER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W SHAW AVE
Mailing Address - Street 2:SUITE NUMBER 200 ATTN PERSONA NEUROBEHAVIOR GROUP
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2515
Mailing Address - Country:US
Mailing Address - Phone:559-269-4852
Mailing Address - Fax:
Practice Address - Street 1:516 W SHAW AVE
Practice Address - Street 2:SUITE NUMBER 200 ATTN PERSONA NEUROBEHAVIOR GROUP
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2515
Practice Address - Country:US
Practice Address - Phone:559-269-4852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist