Organization
THE GREEN GARDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONA GREEN PSY.D. (PSYCHOLOGIST)
(443) 454-5446
Entity
Organization
Contact information
Practice address
10635 YORK RD FL 2, COCKEYSVILLE, MD 21030-2357
(410) 635-1013
Mailing address
11 LINDSEY CT, ESSEX, MD 21221-3355
(443) 454-5446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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