Provider Demographics
NPI:1740504646
Name:GREENFIELD, KATHRYN ANN (LPA)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ANN
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4722 BLACK MOUNTAIN PATH
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8602
Mailing Address - Country:US
Mailing Address - Phone:919-933-2000
Mailing Address - Fax:980-233-5545
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:BUILDING 400
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:919-933-2000
Practice Address - Fax:980-233-5545
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3898103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist