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Individual

DR. DAVID MICHAEL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
3549 CAMINO DEL RIO S, SUITE D, SAN DIEGO, CA 92108-4023
(619) 281-0616
(619) 528-1263
Mailing address
5333 MISSION CENTER RD, SUITE 354, SAN DIEGO, CA 92108
(619) 281-0616
(619) 528-1263

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY4696
CA
103TF0200X
Forensic Psychologist
Primary
PSY4696
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
YYY49122Y
CA
Enumeration date
12/30/2006
Last updated
09/11/2025
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