Individual
CAITLIN RENAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019003
PA
Other
Enumeration date
09/05/2014
Last updated
03/03/2023
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