Berkley Petersen Greene, AuD
Audiologist in Charleston, SC. Individual provider (NPI-1).
NPI number1689280802
StatusActive
Last updated in NPPESNov 21, 2025
Details
- NPI
- 1689280802
- Entity type
- Individual (NPI-1)
- Name
- Berkley Petersen Greene
- Credential
- AuD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2020
- Certification date
- Nov 21, 2025
- Last updated
- Nov 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 8037 | SC | Yes |
| 231H00000X | Audiologist | 3532 | CA | |
| 231H00000X | Audiologist | 2201001869 | VA |
Other names
- Berkley June Petersen (Former Name)
Practice location
2295 Henry Tecklenburg DrCharleston, SC 29414-7801
Phone 843-766-7103
Mailing address
2295 Henry Tecklenburg DrCharleston, SC 29414-7801
Phone 843-766-7103 · Fax 843-377-4629
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All 59 Audiologist providers in Charleston · All 12,657 providers in Charleston
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