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Contact Information

JILDA S GREEN, PH D
4641 ROOSEVELT BLVD
PHILADELPHIA, PA19124-2343
 Phone: 215-831-2896
 Fax: 215-831-2929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JILDA S GREEN · (Female)

NPI Number 1740473792
Status Active
Credentials PH D
Entity Individual
Enumeration date 08/23/2007
Last updated 11/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS016428
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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