Individual
DR. FREDERICK WILLIAM GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
51 FAIRVIEW AVE, REHOBOTH, MA 02769-2003
(207) 317-0557
Mailing address
51 FAIRVIEW AVE, REHOBOTH, MA 02769-2003
(207) 317-0557
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11457
MA
103T00000X
Psychologist
3489
WI
103T00000X
Psychologist
PS01612
RI
Other
Enumeration date
07/09/2015
Last updated
08/25/2023
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