Individual
MELISSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1100 CORPORATE OFFICE DR STE 100, MILFORD, MI 48381-5011
(734) 564-7169
Mailing address
1100 CORPORATE OFFICE DR STE 300, MILFORD, MI 48381-5002
(248) 714-9289
(734) 780-3005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015282
MI
Other
Enumeration date
03/19/2013
Last updated
02/08/2025
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