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Dr. Gary Greenberg, PHD
Professional Counselor in New London, Connecticut
NPI 1386650513

Gary Greenberg is a Professional Counselor based in New London, CT and is specialized in Professional. Gary Greenberg practices in New London, CT and has the professional credentials of PHD. The NPI Number for Gary Greenberg is 1386650513 and holds a License No. 00114 (Connecticut).

The current practice location address for Gary Greenberg is 400 Bayonet St, New London, CT and can be reached out via phone at 860-443-4163.

Location: 400 Bayonet St, New London, CT, 06320-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386650513
Provider Name
Gary Greenberg
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
400 Bayonet St, New London, CT, 06320-2600
Phone Number
860-443-4163
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240000114CT01 01 CT ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
400 Bayonet St
City
New London
State
Connecticut
Zip
06320-2600
Phone Number
860-443-4163
Fax Number
person
Provider Business Mailing Address Details
Address
400 Bayonet St
City
New London
State
Connecticut
Zip
06320-2600
Phone Number
860-443-4163
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
00114 (Connecticut)
Definition
Definition to come...
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