Provider Demographics
NPI:1841476173
Name:GREIFER, DONNA (PHD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:GREIFER
Suffix:
Gender:F
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:PO BOX 161362
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-1362
Mailing Address - Country:US
Mailing Address - Phone:305-987-0170
Mailing Address - Fax:
Practice Address - Street 1:455 DOUGLAS AVE
Practice Address - Street 2:2155-30
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2569
Practice Address - Country:US
Practice Address - Phone:305-987-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5535103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54183Medicare PIN