Individual
DR. LINDA T GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1591 FURNWALL ST, WEST BLOOMFIELD, MI 48324-3824
(248) 258-8899
(248) 287-4633
Mailing address
1591 FURNWALL ST, WEST BLOOMFIELD, MI 48324-3824
(248) 258-8899
(248) 287-4633
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005056
MI
103TS0200X
School Psychologist
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11277424
CAQH
MI
01
—
119609
VALUE OPTIONS
MI
01
—
298871000
MAGELLAN
MI
01
—
620F348200
BCBS
MI
01
—
7215028
AETNA
MI
Enumeration date
10/19/2005
Last updated
02/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us