Greenberg, Glen David
Greenberg, Glen David is an sole proprietor health care provider with primary practice located at 774 Christiana Rd Ste 201A , Newark DE 19713-4221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Greenberg, Glen David can be contacted via phone (610) 566-0501.Contact Information
Primary practice address
774 Christiana Rd Ste 201A
Newark DE 19713-4221
Phone: (610) 566-0501
Fax: (610) 566-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS 004797-L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | B1 0000441 | Delaware |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS 004797-L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | B1 0000441 | Delaware |
Profile Details
| NPI number | 1336119346 |
|---|---|
| LBN Legal business name | Greenberg, Glen David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336119346 | NPPES |
| Other | 214951 | COMPPSYCH | |
| Other | 3350135 | COMPPSYCH | |
| MEDICAID | 001187272003 | COMPPSYCH | |
| Other | 221962 | COMPPSYCH | |
| Other | 0488565000 | COMPPSYCH | |
| Other | 0427479000 | COMPPSYCH | |
| MEDICAID | 1000033037 | COMPPSYCH | |
| Other | 70659 | COMPPSYCH | |
| Other | 001661440 | COMPPSYCH | |
| Other | 1000033037 | COMPPSYCH |
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