Individual
DR. BEN NMI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7617 MINERAL POINT RD, STE 300, MADISON, WI 53717-1623
(608) 833-9290
(608) 833-9691
Mailing address
7617 MINERAL POINT RD, STE 300, MADISON, WI 53717-1623
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1639-57
WI
103TC0700X
Clinical Psychologist
31440-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39088700
—
WI
Enumeration date
04/21/2006
Last updated
01/19/2011
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