Individual
SHEILA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2501 E SOUTHERN AVE, SUITE 21, TEMPE, AZ 85282-7669
(480) 833-4330
(480) 833-1902
Mailing address
910 W OLLA AVE, MESA, AZ 85210-8216
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470667
AHCCCS PIN
AZ
Enumeration date
02/20/2007
Last updated
11/05/2008
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