Green, Judith Lempert
Green, Judith Lempert is an sole proprietor health care provider with primary practice located at 2311 E Stadium Blvd #105N, Office 6, Ann Arbor MI 48104-4833. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Judith Lempert can be contacted via phone (734) 665-2860.Contact Information
Primary practice address
2311 E Stadium Blvd #105N, Office 6
Ann Arbor MI 48104-4833
Phone: (734) 665-2860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001670 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 001670 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001670 | Michigan |
Profile Details
| NPI number | 1588751887 |
|---|---|
| LBN Legal business name | Green, Judith Lempert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588751887 | NPPES |
| Michigan | Other | 001670 | PSYCHOLOGIST LICENSE |
| Michigan | Other | 11277419 | PSYCHOLOGIST LICENSE |
| Michigan | Other | 620H14645 | PSYCHOLOGIST LICENSE |
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