Individual
DR. BARBARA LEE CRITTON-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6111 HARRISON ST, SUITE 204, MERRILLVILLE, IN 46410-2972
(219) 730-7773
(219) 455-6231
Mailing address
6111 HARRISON STREET, SUITE 204, MERRILLVILLE, IN 46410-2972
(219) 730-7773
(219) 455-6231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040724
IN
103TC0700X
Clinical Psychologist
Primary
20040724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034070B
—
IN
05
—
200034070C
—
IN
05
—
200034070D
—
IN
Enumeration date
08/18/2006
Last updated
12/08/2017
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