Individual
DR. JACLYN MAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
121 RED SCHOOLHOUSE RD, FISHKILL, NY 12524-2810
(845) 831-6600
Mailing address
121 RED SCHOOLHOUSE RD, FISHKILL, NY 12524-2810
(845) 831-6600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019177
NY
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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