Individual
DR. KRISTEN W GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
430 PRIOR STREET NE, GAINESVILLE, GA 30501
(678) 971-5355
(678) 971-5359
Mailing address
430 PRIOR STREET NE, GAINESVILLE, GA 30501
(678) 971-5355
(978) 971-5359
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
003114
GA
103TC2200X
Clinical Child & Adolescent Psychologist
6276
OH
Other
Enumeration date
12/18/2007
Last updated
08/28/2012
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