Individual provider · Type 1 NPI

Clinton Randall Greene, PhD

Psychologist · Fort Myers, FL

NPI number 1679307284 Active

Practice location

12550 New Brittany Blvd Ste 100
Fort Myers, FL 33907-3655

Call (239) 343-9180 Map

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY12350 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1679307284

Clinton Randall Greene, PhD's National Provider Identifier is 1679307284, issued on Aug 27, 2024. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 15, 2025.