Deborah Green, Ph.D.
Clinical Neuropsychologist in Boston, MA. Individual provider (NPI-1).
NPI number1952852154
StatusActive
Last updated in NPPESOct 23, 2016
Details
- NPI
- 1952852154
- Entity type
- Individual (NPI-1)
- Name
- Deborah Green
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2016
- Last updated
- Oct 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 10460 | MA | Yes |
Practice location
60 Fenwood RdDepartment Of Neurology
Boston, MA 02115-6128
Phone 617-732-8060
Mailing address
60 Fenwood RdDepartment Of Neurology
Boston, MA 02115-6128
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