Individual
DR. KELLY ELIZABETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5524 BEE CAVES ROAD, SUITE G-2, AUSTIN, TX 78746
(512) 585-1178
Mailing address
5524 BEE CAVES ROAD, SUITE G-2, AUSTIN, TX 78746
(512) 585-1178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
09/02/2016
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