Individual
AMBER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
115 W JACKSON ST STE 1D, RIDGELAND, MS 39157-2428
(601) 853-9747
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-5068
MS
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
05/10/2023
Last updated
02/10/2025
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