Individual
DR. SYDJEA M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092-4707
(833) 667-7924
(817) 755-0945
Mailing address
126 FLOYD ST, BRENTWOOD, NY 11717-2646
(631) 336-0695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39576
TX
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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