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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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