Individual
DR. LOUISE B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
5333 MISSION CENTER RD STE 354, SAN DIEGO, CA 92108-1350
(619) 281-0616
(619) 528-1263
Mailing address
5333 MISSION CENTER RD, 354, SAN DIEGO, CA 92108
(619) 281-0616
(619) 528-1263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PHY4422
CA
Other
Enumeration date
08/21/2006
Last updated
02/20/2009
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