Provider Demographics
NPI:1366524704
Name:GREENE, ELIZABETH ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:GREENE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:ATTN: BEHAVIORAL HEALTH
Mailing Address - City:FT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060
Mailing Address - Country:US
Mailing Address - Phone:571-231-4624
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:
Practice Address - City:FT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:571-231-4624
Practice Address - Fax:571-231-6623
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2024-07-09
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Provider Licenses
StateLicense IDTaxonomies
VA0101235553207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine