William M Green PHD

NPI 1033276431 - Psychologist - 103T00000X

NPI Details
NPI 1033276431
Gender Male
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
401 1 2 SHERMAN
SUITE 206
COEUR D ALENE ID, 83814-2777, US
Phone (208) 765-1894
Fax (208) 666-1598
Business Location
PO BOX 1209
COEUR D ALENE ID, 83816-1209, US
Phone (208) 765-1894
Fax (208) 666-1598
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY14247
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According to our database, William M Green PHD NPI is 1033276431, taxonomy code is 103T00000X and license number is PSY14247, license state is located at California. William M Green PHD physically located at 401 1 2 Sherman, Coeur D Alene ID, 83814-2777. NPI Number William M Green PHD has the Individual type.

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1033276431 NPI number is provided on an as is basis without warranty of any kind. 1033276431 is maintained by the National Plan & Provider Enumeration System. The contents of William M Green PHD are for informational purposes only.