Most Relevant Information
Provider Data
| NPI Number: | 1003017674 |
| Provider Name: | BETTY JEAN GREENE SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 011587-1 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5 OXFORD CT
WHEATLEY HEIGHTS
NY
117981123
Practice Location Phone/Fax
| Phone: | 6315863598 |
| Fax: |
Provider Mailing Location
5 OXFORD CT
WHEATLEY HEIGHTS
NY
117981123
Provider Mailing Phone/Fax
| Phone: | 6315863598 |
| Fax: |