Green, J. Timothy
Green, J. Timothy is an sole proprietor health care provider with primary practice located at 25255 Cabot Road Suite 210 , Laguna Hills CA 92653. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, J. Timothy can be contacted via phone (949) 472-2353.Contact Information
Primary practice address
25255 Cabot Road Suite 210
Laguna Hills CA 92653
Phone: (949) 472-2353
Fax: (949) 770-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PYS11187 | California |
Profile Details
| NPI number | 1790871267 |
|---|---|
| LBN Legal business name | Green, J. Timothy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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