Individual
DR. HEATHER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
133 IVY LN, KING OF PRUSSIA, PA 19406-4417
(215) 901-9990
Mailing address
133 IVY LANE, KING OF PRUSSIA, PA 19406
(215) 901-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017270
PA
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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