Jilda S Green in Philadelphia - Intellectual And Developmental Disabilities

Jilda S Green - NPI 1740473792

Jilda S Green is a Intellectual And Developmental Disabilities in Philadelphia, Pennsylvania. Jilda S Green practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Jilda S Green is 1740473792. The last update date is 2012-06-13.

Jilda S Green's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158312896 and fax number 2158312929. The mailing address for Jilda S Green is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jilda S Green
Address 4641 Roosevelt Blvd, Philadelphia, Pennsylvania
Phone Number 2158312896
Fax Number 2158312929
Sole Proprietor Y
Credentials PH D

NPI Number Detail

NPI Number 1740473792
Provider Enumeration Date 2007-08-23
Last Updated Date 2012-06-13

Provider Mailing Address Detail

Address 4641 Roosevelt Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191242343
Phone Number 2158312896
Fax Number 2158312929

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No PS016428
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

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FAQs about Jilda S Green

What is the unique identifier code issued to Jilda S Green by the Centers for Medicare & Medicaid Services (CMS)?

The Jilda S Green has been assigned the NPI (National Provider Identifier) 1740473792. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jilda S Green's physical address?

The Jilda S Green is physically located at 4641 Roosevelt Blvd, in the city of Philadelphia, PA, with the postal code 191242343.

What is Jilda S Green's area of expertise and its corresponding taxonomy classification?

The Jilda S Green's field of specialization is Intellectual And Developmental Disabilities, and it falls under the taxonomy code 103Tm1800X, which categorizes healthcare providers based on their areas of practice.

When was the Jilda S Green's 1740473792 issued?

The Jilda S Green's 1740473792 was issued on 2007-08-23.

As of what date was the information regarding Jilda S Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jilda S Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-13.

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