Organization
DAVID GREEN, PH.D. & LOUISE GREEN, PH.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE GREEN PH.D. (VICE PRESIDENT)
(619) 281-0616
Entity
Organization
Contact information
Practice address
5333 MISSION CENTER RD, SUITE 354, SAN DIEGO, CA 92108-1302
(619) 281-0616
(619) 528-1263
Mailing address
5333 MISSION CENTER RD, SUITE 354, SAN DIEGO, CA 92108-1302
(619) 281-0616
(619) 528-1263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4422
CA
103TC0700X
Clinical Psychologist
PSY4696
CA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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