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Individual

DR. VALINDA LAVERNE GREENE

Active
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Individual

DR. VALINDA LAVERNE GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, MS,MA, RN

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15278
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171337
MANAGED HEALTH NETWORK
CA
01
CP15278
BLUE SHEILD
CA
01
PSY152780
MEDICAL PROVIDER NUMBER
CA
Enumeration date
02/25/2007
Last updated
05/20/2014
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