Provider Demographics
NPI:1104905439
Name:GREYE, HOLLY (LCSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:GREYE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 TENNENT RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3161
Mailing Address - Country:US
Mailing Address - Phone:732-972-5635
Mailing Address - Fax:732-679-2169
Practice Address - Street 1:710 TENNENT RD
Practice Address - Street 2:SUITE 303
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3161
Practice Address - Country:US
Practice Address - Phone:732-972-5635
Practice Address - Fax:732-679-2169
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC430041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical