Individual
DR. KRISTEN NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
UCLA STUDENT PSYCHOLOGICAL SERVICES, JOHN WOODEN WEST BX 951556, LOS ANGELES, CA 90095-1556
(310) 825-0768
(310) 206-7365
Mailing address
UCLA STUDENT PSYCHOLOGICAL SERVICES, JOHN WOODEN WEST BX 951556, LOS ANGELES, CA 90095-1556
(310) 825-0768
(310) 206-7365
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 21353
CA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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