Individual
MRS. ELIZABETH WALLENBORN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCLA
Contact information
Practice address
3000 JOHNSON ROAD SW, HUNTSVILLE, AL 35805-5847
(256) 650-1701
(256) 650-1780
Mailing address
1305 TONEY DRIVE, HUNTSVILLE, AL 35802-1228
(256) 883-5865
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
671A
AL
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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