Individual
JENNIFER DIANE MILLER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4280 PIEDMONT PKWY STE 105, GREENSBORO, NC 27410-8159
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6722
NC
Other
Enumeration date
05/05/2025
Last updated
05/01/2026
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