Tara Scott Green
Psychologist in Louisville, KY. Individual provider (NPI-1).
NPI number1396830576
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396830576
- Entity type
- Individual (NPI-1)
- Name
- Tara Scott Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2006-65 | KY | Yes |
Practice location
1512 Crums LnLouisville, KY 40216-3861
Phone 502-589-1100 · Fax 502-589-8771
Mailing address
101 W Muhammad Ali BlvdLouisville, KY 40202-1423
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