Provider Demographics
NPI:1316252059
Name:GREEFF, TERILEE
Entity type:Individual
Prefix:MRS
First Name:TERILEE
Middle Name:
Last Name:GREEFF
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 1:2221 COTTONWOOD COVE LN
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-5018
Mailing Address - Country:US
Mailing Address - Phone:801-688-0177
Mailing Address - Fax:
Practice Address - Street 1:3912 WINTHROPE DR
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5745
Practice Address - Country:US
Practice Address - Phone:801-676-9532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst