Green, Elizabeth Earle

Green, Elizabeth Earle is an sole proprietor health care provider with primary practice located at 3921 Goldfinch St , San Diego CA 92103-2926. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Elizabeth Earle can be contacted via phone (619) 260-0335.

Contact Information

Primary practice address
3921 Goldfinch St San Diego CA 92103-2926
Phone: (619) 260-0335
Fax: (619) 260-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15277 California

Profile Details

NPI number 1013917368
LBN Legal business name Green, Elizabeth Earle
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013917368 NPPES
California Other PSY15277 LICENSE
California MEDICAID PSY152770 LICENSE
California Other OPL152770 LICENSE

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