Greenspan, Marie

Greenspan, Marie is an sole proprietor health care provider with primary practice located at 7316 Redbloom Rd Nw , Albuquerque NM 87114-6407. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is her primary health care specialty. Greenspan, Marie can be contacted via phone (505) 365-1935.

Contact Information

Primary practice address
7316 Redbloom Rd Nw Albuquerque NM 87114-6407
Phone: (505) 365-1935
Fax: (505) 792-6837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1142 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301003263 Michigan
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0038 New Mexico

Profile Details

NPI number 1184616765
LBN Legal business name Greenspan, Marie
Credentials PHD, MSCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Feb 15th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184616765 NPPES
New Mexico MEDICAID 52225755

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