Green, Linda T

Green, Linda T is an sole proprietor health care provider with primary practice located at 1591 Furnwall St , West Bloomfield MI 48324-3824. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Linda T can be contacted via phone (248) 258-8899.

Contact Information

Primary practice address
1591 Furnwall St West Bloomfield MI 48324-3824
Phone: (248) 258-8899
Fax: (248) 287-4633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005056 Michigan
Behavioral Health & Social Service Providers / School 103TS0200X Michigan

Profile Details

NPI number 1881683050
LBN Legal business name Green, Linda T
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Feb 15th, 2022 - about 3 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 1881683050 NPPES
Michigan Other 7215028 AETNA
Michigan Other 11277424 AETNA
Michigan Other 298871000 AETNA
Michigan Other 620F348200 AETNA
Michigan Other 119609 AETNA

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