Green, Heyward L.

Green, Heyward L. is an individual health care provider with primary practice located at 7700 Fish Pond Rd , Waco TX 76710-1031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Heyward L. can be contacted via phone (254) 761-4444.

Contact Information

Primary practice address
7700 Fish Pond Rd Waco TX 76710-1031
Phone: (254) 761-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23238 Texas

Profile Details

NPI number 1215997911
LBN Legal business name Green, Heyward L.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 7th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215997911 NPPES
Texas Other 82455P BLUE SHIELD

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