David L. Green is a Clinical in Santa Rosa, California. David L. Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for David L. Green is 1518041771. The last update date is 2007-07-08.
David L. Green's current location address is 2685 Leslie Rd, Santa Rosa, California. You can contact this provider via phone number 7075755355 and fax number 7075751491. The mailing address for David L. Green is 2685 Leslie Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L. Green |
|---|---|
| Address | 2685 Leslie Rd, Santa Rosa, California |
| Phone Number | 7075755355 |
| Fax Number | 7075751491 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1518041771 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2685 Leslie Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954049607 |
| Phone Number | 7075755355 |
| Fax Number | 7075751491 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 9264 |
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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 identifier code assigned to David L. Green by the Centers for Medicare & Medicaid Services?
The David L. Green has been issued the NPI (National Provider Identifier) 1518041771 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the David L. Green located?
The David L. Green is located at 2685 Leslie Rd, Santa Rosa, CA 954049607.
What is David L. Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David L. Green is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518041771 to David L. Green?
The David L. Green received its 1518041771 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the David L. Green's information last updated?
The David L. Green's information was last updated on 2007-07-08.