Individual
DR. FOY WALLACE GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 337-7341
Mailing address
PO BOX 611, ORANGEVALE, CA 95662-0611
(916) 337-7341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16260
CA
Other
Enumeration date
01/02/2007
Last updated
05/30/2013
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