Provider Demographics
NPI:1154767523
Name:GREER QUAYE-KUMAH, SIDONIE CLAIRE
Entity type:Individual
Prefix:
First Name:SIDONIE
Middle Name:CLAIRE
Last Name:GREER QUAYE-KUMAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 SEQUOIA DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-9023
Mailing Address - Country:US
Mailing Address - Phone:570-369-0724
Mailing Address - Fax:
Practice Address - Street 1:3606 SEQUOIA DR
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18302-9023
Practice Address - Country:US
Practice Address - Phone:570-369-0724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker