Individual
DEBBIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 RIVER RD, T-WH1-01, TEANECK, NJ 07666-1914
(201) 692-2455
Mailing address
3085 VERNON BLVD APT 4I, ASTORIA, NY 11102-4056
(917) 678-1305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0192981
NY
Other
Enumeration date
04/13/2009
Last updated
08/09/2012
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