IndividualActive
Mark Greene
NPI 1689373417 · Group Psychotherapy Psychologist · Johnson City, TN
Provider details
- NPI number
- 1689373417
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1311 E Millard St # A2
Johnson City, TN 37601-3540
Phone: (423) 203-1615
Approximate (ZIP-level) locationGet directions
Mailing address
1311 E Millard St # A2
Johnson City, TN 37601-3540
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.