| Doctor Name: | DEBBIE GREEN |
| NPI Number: | 1033352612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 0192981 |
| Business Practice Address: | 1000 River Rd T-wh1-01 Teaneck, NJ - 076661914 |
| Business Phone Number: | 2016922455 |
| Business Fax Number: | |
| Mailing Address: | 3085 Vernon Blvd Apt 4i, ASTORIA |
| State: | NY |
| Postal Code: | 111024056 |
| Phone Number: | 9176781305 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0192981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |