Individual
DR. LAURI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
3255 ESPLANADE, CHICO, CA 95973-0255
(530) 899-3150
(530) 899-3160
Mailing address
3255 ESPLANADE, CHICO, CA 95973-0255
(530) 899-3150
(530) 899-3160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34049
CA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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