Nancy Ellen Greene, PhD
Speech-Language Pathologist, in San Diego, CA. Individual provider (NPI-1).
NPI number1730240474
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1730240474
- Entity type
- Individual (NPI-1)
- Name
- Nancy Ellen Greene
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP191 | CA | Yes |
| 103TC0700X | Psychologist, Clinical | PSY 6176 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC 14659 | CA |
Practice location
2442 Fourth AvenueSan Diego, CA 92101
Phone 619-234-1988 · Fax 619-232-6052
Mailing address
2442 Fourth AvenueSan Diego, CA 92101
Phone 619-234-1988 · Fax 619-232-6052
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