Individual provider · NPI-1
Nina Green
Speech-Language Pathologist, · North Lauderdale, FL
NPI number1407674229
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1407674229
- Entity type
- Individual (NPI-1)
- Name
- Nina Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2024
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
995 S Rock Island RdNorth Lauderdale, FL 33068-2313
Phone 954-906-2410
Mailing address
995 S Rock Island RdNorth Lauderdale, FL 33068-2313
Phone 954-906-2410
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.