Green, David L.

Green, David L. is an sole proprietor health care provider with primary practice located at 1101 B Gale Wilson Blvd Ste 307 , Fairfield CA 94533-3702. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, David L. can be contacted via phone (707) 428-3435.

Contact Information

Primary practice address
1101 B Gale Wilson Blvd Ste 307 Fairfield CA 94533-3702
Phone: (707) 428-3435
Fax: (707) 428-3770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 9264 California

Profile Details

NPI number 1518041771
LBN Legal business name Green, David L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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