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Individual

DR. JUDITH LEMPERT GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2311 E STADIUM BLVD, #105N, OFFICE 6, ANN ARBOR, MI 48104-4833
(734) 665-2860
Mailing address
2311 E STADIUM BLVD, #106, ANN ARBOR, MI 48104-4833
(734) 665-2860

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001670
MI
103TC0700X
Clinical Psychologist
001670
MI
103TC2200X
Clinical Child & Adolescent Psychologist
001670
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001670
PSYCHOLOGIST LICENSE
MI
01
11277419
CAQH PROVIDER #
01
620H14645
BCBSM PROVIDER
MI
Enumeration date
10/06/2006
Last updated
09/11/2025
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