MEDICARE: DR. MARTIN GLENN GREER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	415	NM

General Provider Information

NPI Number	:	1093813826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN GLENN GREER PH.D.

Provider Business Mailing Address
First Line	:	1505 S DON ROSER DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4596
Country	:	US
Telephone Number	:	575-680-0682
Fax Number	:	575-222-2384

Provider Business Practice Location Address
First Line	:	1505 S DON ROSER DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4596
Country	:	US
Telephone Number	:	575-680-0682
Fax Number	:	575-222-2384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/25/2025

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