Provider Demographics
NPI:1811070865
Name:GREENE, CAROLYN JOANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JOANNE
Last Name:GREENE
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:795 WILLOW RD # PTSD-334
Mailing Address - Street 2:NATIONAL CENTER FOR PTSD
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-2539
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-617-2701
Practice Address - Street 1:795 WILLOW RD # PTSD-334
Practice Address - Street 2:NATIONAL CENTER FOR PTSD
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2539
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-617-2701
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2009-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical