Individual
DR. JESSICA L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
11/03/2025
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