MEDICARE: DEBORAH LEE GREENSLIT L.M.H.C., R.N.

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	101YM0800X	Mental Health Counselor	LM0649	MA

General Provider Information

NPI Number	:	1134397748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LEE GREENSLIT L.M.H.C., R.N.

Provider Business Mailing Address
First Line	:	32 POMMOGUSSETT RD
Second Line	:	UNIT 8
City	:	RUTLAND
State	:	MA
Zip	:	01543-1461
Country	:	US
Telephone Number	:	774-234-0090
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 POMMOGUSSETT RD
Second Line	:	UNIT 8
City	:	RUTLAND
State	:	MA
Zip	:	01543-1461
Country	:	US
Telephone Number	:	774-234-0090
Fax Number	:

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

Provider Enumeration Date	:	02/16/2008
Last Update Date	:	02/16/2008

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