Individual
RENEE MICHELE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
207 N 4TH AVE, HOPEWELL, VA 23860-2503
(804) 541-0918
(804) 863-4626
Mailing address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9337
(804) 861-0700
(804) 863-4626
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810007347
PA
103TC0700X
Clinical Psychologist
Primary
0810007347
VA
Other
Enumeration date
04/02/2021
Last updated
04/30/2021
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