Basic Information
| Provider Information | |||||||||
| NPI: | 1487751061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GREENING | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | ELAINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3757 WARWICK DR | ||||||||
| Address2: | |||||||||
| City: | STERLING HEIGHTS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483142803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5869979722 | ||||||||
| FaxNumber: | 2482130521 | ||||||||
| Practice Location | |||||||||
| Address1: | 29201 TELEGRAPH RD | ||||||||
| Address2: | SUITE 550 | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480341331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482130501 | ||||||||
| FaxNumber: | 2482130521 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6301008082 | MI | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.