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Contact Information

KRISTEN W GREEN, PhD
430 PRIOR STREET NE
GAINESVILLE, GA30501
 Phone: 678-971-5355
 Fax: 678-971-5359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTEN W GREEN · (Female)

NPI # 1356525018
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/18/2007
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 003114
  • OH License # 6276
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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