Greene, Susan Marinel
Greene, Susan Marinel is an sole proprietor health care provider with primary practice located at 11100 San Pablo Ave Suite 216, El Cerrito CA 94530-2194. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greene, Susan Marinel can be contacted via phone (510) 233-8402.Contact Information
Primary practice address
11100 San Pablo Ave Suite 216
El Cerrito CA 94530-2194
Phone: (510) 233-8402
Fax: (510) 233-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY6684 | California |
Profile Details
| NPI number | 1346334711 |
|---|---|
| LBN Legal business name | Greene, Susan Marinel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346334711 | NPPES |
| California | MEDICAID | PSY066840 |
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