Greengate Neurobehavioral Health INC

NPI #1881276434 in Beech Grove, Indiana

Provider Information

NPI Number: 1881276434
Entity Type: Organization
Organization Name: Greengate Neurobehavioral Health INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 23, 2021
Last Updated: Apr 23, 2021

Practice Location

Address: 19 N 5TH AVE
City: Beech Grove
State: Indiana
ZIP Code: 46107-1325
Phone: (937) 776-5012

Authorized Official

Name: THERESA GREENLEE, PSY.D.
Title: OWNER
Phone: (937) 776-5012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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