Provider Demographics
NPI:1881733087
Name:GREENSTEIN, MARSHALL BERNARD (MA-LMHC, LMFT)
Entity type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:BERNARD
Last Name:GREENSTEIN
Suffix:
Gender:M
Credentials:MA-LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W. THIRD ST. SUITE 2B
Mailing Address - Street 2:HUTTON AND GREENSTEIN COUNSELING SERVICES
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701
Mailing Address - Country:US
Mailing Address - Phone:716-484-7756
Mailing Address - Fax:716-484-7756
Practice Address - Street 1:501 W. THIRD ST. SUITE 2B
Practice Address - Street 2:HUTTON AND GREENSTEIN COUNSELING SERVICES
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701
Practice Address - Country:US
Practice Address - Phone:716-484-7756
Practice Address - Fax:716-484-7756
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003149101YM0800X
NY000221-1106H00000X
NY003149-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health