Individual
DR. MICHELLE L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18-B LENOX POINTE, N.E., ATLANTA, GA 30324-3168
(404) 840-4403
(404) 840-9296
Mailing address
18-B LENOX POINTE, N.E., ATLANTA, GA 30324-3168
(404) 840-4403
(404) 840-9296
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002895
GA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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