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Physician Compare National (NPI:1639225097)

HEALTHCARE PROVIDER: JOANNE GREENFIELD PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1639225097
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4688838352
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120608000072
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GREENFIELD
Individual professional last name
Provider First Name JOANNE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 12 LOCKE LANE
Group Practice or individual's line 1 address
City LEXINGTON
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 02420
Group Practice or individual's zip code (9 digits when available)
Phone Number 6174918860
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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