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Contact Information

LEON GREEN, PhD
39 GAGE ROAD
EAST BRUNSWICK, NJ08816
 Phone: 732-545-2890
 Fax: 732-545-2890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEON GREEN · (Male)

NPI Number 1194820464
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/13/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00202600
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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