Individual
DR. CHLOE T GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8996 MIRAMAR RD, SAN DIEGO, CA 92126-4451
(760) 990-7001
Mailing address
8996 MIRAMAR RD, SAN DIEGO, CA 92126-4451
(760) 990-7001
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY30745
CA
103T00000X
Psychologist
PSY30745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194161406
—
CA
Enumeration date
03/01/2019
Last updated
10/18/2022
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