MEDICARE: SUSAN GREENSHIELDS 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	103TC0700X	Clinical Psychologist	6301007742	MI

General Provider Information

NPI Number	:	1821077082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN GREENSHIELDS PH.D.

Provider Business Mailing Address
First Line	:	19855 OUTER DR
Second Line	:	SUITE 103A
City	:	DEARBORN
State	:	MI
Zip	:	48124-2022
Country	:	US
Telephone Number	:	313-359-3676
Fax Number	:

Provider Business Practice Location Address
First Line	:	19855 OUTER DR
Second Line	:	SUITE 103A
City	:	DEARBORN
State	:	MI
Zip	:	48124-2022
Country	:	US
Telephone Number	:	313-359-3676
Fax Number	:

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

Provider Enumeration Date	:	01/15/2006
Last Update Date	:	10/31/2007

Similar Medicare Providers

1043650732 — SONIA LYNN THOMAS MD
Practice Location Address:

19855 OUTER DR STE 200
DEARBORN, MI
48124-2022

Practice Phone: 313-565-3565
Practice Fax:

1215905765 — JAMES G FORDYCE MD
Practice Location Address:

19855 OUTER DR , STE 204
DEARBORN, MI
48124-2022

Practice Phone: 313-565-3565
Practice Fax: 313-565-7723

1750359204 — DIANE L BARANOWSKI MD
Practice Location Address:

19855 OUTER DR , STE 204
DEARBORN, MI
48124-2022

Practice Phone: 313-565-3565
Practice Fax: 313-565-7723

1700961158 — PENELOPE HALE PH.D
Practice Location Address:

19855 OUTER DR , STE 103W
DEARBORN, MI
48124-2022

Practice Phone: 313-278-7777
Practice Fax:

1205903085 — URSZULA A. STUDZINSKI, M.D, P.C.
Practice Location Address:

19855 WEST OUTER DR. , GARRISON PLACE EAST, SUITE L-7
DEARBORN, MI
48124-2022

Practice Phone: 313-277-4929
Practice Fax: 313-561-1842

1558424259 — DR. URSZULA A. STUDZINSKI M.D.
Practice Location Address:

19855 WEST OUTER DR. , GARRISON PLACE EAST, SUITE L-7
DEARBORN, MI
48124-2022

Practice Phone: 313-277-4929
Practice Fax: 313-561-1842

Directions to “ SUSAN GREENSHIELDS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.