Provider Demographics
NPI:1124176326
Name:GREENSPON ASSOCIATES, P.A.
Entity type:Organization
Organization Name:GREENSPON ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:GREENSPON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:952-929-1499
Mailing Address - Street 1:PO BOX 16325
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-0325
Mailing Address - Country:US
Mailing Address - Phone:952-929-1499
Mailing Address - Fax:952-929-6097
Practice Address - Street 1:3601 PARK CENTER BLVD
Practice Address - Street 2:SUITE 128
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-2531
Practice Address - Country:US
Practice Address - Phone:952-929-1499
Practice Address - Fax:952-929-6097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty