| Dr. Eric M Greene, Psychologist Inc. | |
|
2600 W Olive Ave Fl 5 Burbank CA 91505-4572 | |
| (310) 571-8904 | |
| (323) 639-5169 |
| Full Name | Dr. Eric M Greene, Psychologist Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2600 W Olive Ave Fl 5, Burbank, California |
| Authorized Official Name and Position | Eric M Greene (CEO) |
| Authorized Official Contact | 3105718904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Eric M Greene, Psychologist Inc. 2600 W Olive Ave Ste 570 Burbank CA 91505-4549 Ph: (310) 571-8904 | Dr. Eric M Greene, Psychologist Inc. 2600 W Olive Ave Fl 5 Burbank CA 91505-4572 Ph: (310) 571-8904 |
| NPI Number | 1023738259 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 3173992419 |
|---|---|
| Medicare Enrollment ID | O20221208002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023738259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Eric M. Greene |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114567310 PECOS PAC ID: 9739558065 Enrollment ID: I20221208002305 |
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