Provider Demographics
NPI:1770362287
Name:GREER, TERRANCE (MS, (TLMHC))
Entity type:Individual
Prefix:
First Name:TERRANCE
Middle Name:
Last Name:GREER
Suffix:
Gender:M
Credentials:MS, (TLMHC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-2116
Mailing Address - Country:US
Mailing Address - Phone:319-348-5215
Mailing Address - Fax:
Practice Address - Street 1:3812 CEDAR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6260
Practice Address - Country:US
Practice Address - Phone:319-260-2149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health