David Michael Green in San Diego - Forensic
David Michael Green - NPI 1457417685
David Michael Green is a Forensic in San Diego, California. David Michael Green practices all healthcare services and medical treatments related to Forensic. The NPI Number for David Michael Green is 1457417685. The last update date is 2007-07-08.
David Michael Green's current location address is 5333 Mission Center Rd, San Diego, California. You can contact this provider via phone number 6192810616 and fax number 6195281263. The mailing address for David Michael Green is 5333 Mission Center Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Green |
|---|---|
| Address | 5333 Mission Center Rd, San Diego, California |
| Phone Number | 6192810616 |
| Fax Number | 6195281263 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1457417685 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5333 Mission Center Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92108 |
| Phone Number | 6192810616 |
| Fax Number | 6195281263 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | PSY4696 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| YYY49122Y | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Michael Green by the Centers for Medicare & Medicaid Services?
The David Michael Green has been issued the NPI (National Provider Identifier) 1457417685 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David Michael Green?
The David Michael Green is situated at 5333 Mission Center Rd, in the city of San Diego, state of CA, with the zip code 92108.
What is David Michael Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Michael Green is Forensic, and the taxonomy code that classifies this field of practice is 103Tf0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457417685 to David Michael Green?
The Centers for Medicare & Medicaid Services originally issued the 1457417685 to David Michael Green on 2006-12-30.
As of what date was the information pertaining to David Michael Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Michael Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.