Doctor Name: | MS. MARY CHRISTINA GREEN |
NPI Number: | 1215009147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED PROFESSIONA |
License Number: | PC002841 |
Business Practice Address: | 516 Allegheny Street Hollidaysburg, PA - 16648 |
Business Phone Number: | 8146969110 |
Business Fax Number: | |
Mailing Address: | 516 Allegheny Street, HOLLIDAYSBURG |
State: | PA |
Postal Code: | 16648 |
Phone Number: | 8146969110 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC002841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |