Heyward L. Green is a Clinical in Waco, Texas. Heyward L. Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heyward L. Green is 1215997911. The last update date is 2020-05-07.
Heyward L. Green's current location address is 7700 Fish Pond Rd, Waco, Texas. You can contact this provider via phone number 2547614444. The mailing address for Heyward L. Green is 7700 Fish Pond Rd, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Heyward L. Green |
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Address | 7700 Fish Pond Rd, Waco, Texas |
Phone Number | 2547614444 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1215997911 |
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Provider Enumeration Date | 2006-03-25 |
Last Updated Date | 2020-05-07 |
Provider Mailing Address Detail
Address | 7700 Fish Pond Rd |
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City | Waco |
State | Texas (TX) |
Post Code | 767101031 |
Phone Number | 2547614444 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 23238 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
82455P | TX | BLUE SHIELD |
Post Comment/ Review Below
What is the Heyward L. Green's 1215997911?
The Heyward L. Green's NPI (National Provider Identifier) Number is 1215997911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Heyward L. Green is geographically located?
The Heyward L. Green is physically situated at the following location: 7700 Fish Pond Rd, Waco, TX, 767101031.
What is Heyward L. Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heyward L. Green's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Heyward L. Green receive its 1215997911 assignment from the Centers for Medicare & Medicaid Services?
The Heyward L. Green was assigned its 1215997911 by the Centers for Medicare & Medicaid Services on 2006-03-25.
As of what date were the details pertaining to Heyward L. Green last refreshed?
The information related to the Heyward L. Green, including its address, specialty, and other relevant details, was last updated on 2020-05-07.
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