Lisa Beth Green is a Clinical in Beachwood, Ohio. Lisa Beth Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Beth Green is 1508979121. The last update date is 2007-07-08.
Lisa Beth Green's current location address is 23250 Chagrin Blvd, Beachwood, Ohio. You can contact this provider via phone number 2164644243 and fax number 2165958210. The mailing address for Lisa Beth Green is 23250 Chagrin Blvd, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Beth Green |
|---|---|
| Address | 23250 Chagrin Blvd, Beachwood, Ohio |
| Phone Number | 2164644243 |
| Fax Number | 2165958210 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1508979121 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23250 Chagrin Blvd |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 44122 |
| Phone Number | 2164644243 |
| Fax Number | 2165958210 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Lisa Beth Green by the Centers for Medicare & Medicaid Services?
The Lisa Beth Green has been issued the NPI (National Provider Identifier) 1508979121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Beth Green is physically located?
The Lisa Beth Green is situated at the following address: 23250 Chagrin Blvd, Beachwood, OH 44122.
What is Lisa Beth Green's area of expertise and its corresponding taxonomy classification?
The Lisa Beth Green's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1508979121 to Lisa Beth Green?
The Centers for Medicare & Medicaid Services assigned the 1508979121 to Lisa Beth Green on 2006-08-16.
When was the information related to Lisa Beth Green most recently updated or refreshed?
The details pertaining to the Lisa Beth Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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