Kristen W Green in Gainesville - Clinical Child & Adolescent
Kristen W Green - NPI 1356525018
Kristen W Green is a Clinical Child & Adolescent in Gainesville, Georgia. Kristen W Green practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kristen W Green is 1356525018. The last update date is 2012-08-28.
Kristen W Green's current location address is 430 Prior Street Ne, Gainesville, Georgia. You can contact this provider via phone number 6789715355 and fax number 9789715359. The mailing address for Kristen W Green is 430 Prior Street Ne, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen W Green |
|---|---|
| Address | 430 Prior Street Ne, Gainesville, Georgia |
| Phone Number | 6789715355 |
| Fax Number | 9789715359 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356525018 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 430 Prior Street Ne |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 30501 |
| Phone Number | 6789715355 |
| Fax Number | 9789715359 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 3114 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kristen W Green?
The Kristen W Green has been issued the NPI (National Provider Identifier) 1356525018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kristen W Green's physical address?
The Kristen W Green is physically located at 430 Prior Street Ne, in the city of Gainesville, GA, with the postal code 30501.
What is Kristen W Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristen W Green is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356525018 to Kristen W Green?
The Kristen W Green received its 1356525018 assignment from the Centers for Medicare & Medicaid Services on 2007-12-18.
As of what date were the details related to Kristen W Green most recently updated or revised?
The information pertaining to Kristen W Green, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-28.
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