Individual
SUZANNE ELLEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4399 N NOB HILL RD, SUNRISE, FL 33351-5813
(954) 746-8415
(954) 370-5967
Mailing address
2921 W ABIACA CIRCLE, DAVIE, FL 33328
(954) 746-8415
(954) 370-5967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5213
FL
Other
Enumeration date
12/04/2006
Last updated
09/17/2010
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