Provider Demographics
NPI:1871346460
Name:GREER, JESUS B (PHD)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:B
Last Name:GREER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9915 N SEDONA PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9392
Mailing Address - Country:US
Mailing Address - Phone:520-227-0550
Mailing Address - Fax:
Practice Address - Street 1:9915 N SEDONA PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-9392
Practice Address - Country:US
Practice Address - Phone:520-227-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1194103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling