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Individual
NANCY ELLEN GREENE
Active
Individual
NANCY ELLEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 6176
CA
106H00000X
Marriage & Family Therapist
MFC 14659
CA
235Z00000X
Speech-Language Pathologist
Primary
SP191
CA
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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