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Contact Information

ELIZABETH T GREEN
103 E 2ND ST APT 2
FREDERICK, MD21701-7200
 Phone: 410-777-0710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELIZABETH T GREEN · (Female)

NPI # 1144069261
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2024
Last updated 05/20/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # LCA3221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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