MEDICARE: DR. HELENE DANIELLE GREENWALD 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	6301012858	MI

General Provider Information

NPI Number	:	1346458320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENE DANIELLE GREENWALD PH.D

Provider Business Mailing Address
First Line	:	10484 NADINE AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1518
Country	:	US
Telephone Number	:	248-752-7946
Fax Number	:

Provider Business Practice Location Address
First Line	:	10484 NADINE AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1518
Country	:	US
Telephone Number	:	248-752-7946
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/13/2022

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