Greene, Jamelle Gardine
Greene, Jamelle Gardine is an sole proprietor health care provider with primary practice located at 22 Carriage Ln , South Hadley MA 01075-2198. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Greene, Jamelle Gardine can be contacted via phone (508) 330-0413.Contact Information
Primary practice address
22 Carriage Ln
South Hadley MA 01075-2198
Phone: (508) 330-0413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 9349 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9349 | Massachusetts |
Profile Details
| NPI number | 1306107222 |
|---|---|
| LBN Legal business name | Greene, Jamelle Gardine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jan 15th, 2021 - about 3 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.
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