Doctor Name: | MS. AMY MARIE GREEN |
NPI Number: | 1821413758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 212 I St Davis, CA - 956164213 |
Business Phone Number: | 5306015959 |
Business Fax Number: | |
Mailing Address: | 28425 N Black Canyon Hwy, Unit 2088 PHOENIX |
State: | AZ |
Postal Code: | 850857601 |
Phone Number: | 4804040716 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2014 |
NPI Last Update Date: | 03/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |