Individual
LEON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
39 GAGE ROAD, EAST BRUNSWICK, NJ 08816
(732) 545-2890
(732) 545-2890
Mailing address
39 GAGE ROAD, EAST BRUNSWICK, NJ 08816
(732) 545-2890
(732) 545-2890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00202600
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00202600
NJ
103TC0700X
Clinical Psychologist
35SI00202600
NJ
103TH0100X
Health Service Psychologist
35SI00202600
NJ
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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