Healthcare Provider Details

I. General information

NPI: 1093741241
Provider Name (Legal Business Name): RHONDA E GREENBERG PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 04/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MACCULLOCH AVE 2ND FLOOR
MORRISTOWN NJ
07960-8213
US

IV. Provider business mailing address

66 MACCULLOCH AVE 2ND FLOOR
MORRISTOWN NJ
07960-8213
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-7767
  • Fax: 215-322-1857
Mailing address:
  • Phone: 973-267-7767
  • Fax: 215-322-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number35S1003545
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: