Individual
DR. ALAN JEFFREY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1200 CONVERSE ST, SUITE 201, LONGMEADOW, MA 01106-1760
(413) 567-3459
Mailing address
15 WINDSOR PL, LONGMEADOW, MA 01106-1032
(413) 567-3459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2741
MA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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