Green, Martha G

Green, Martha G is an individual health care provider with primary practice located at 1105 S College Rd Ste A, Lafayette LA 70503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Martha G can be contacted via phone (337) 232-9113.

Contact Information

Primary practice address
1105 S College Rd Ste A Lafayette LA 70503
Phone: (337) 232-9113
Fax: (337) 232-0022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 726 Louisiana

Profile Details

NPI number 1770528770
LBN Legal business name Green, Martha G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770528770 NPPES
Louisiana Other SCG20 GROUP MEDICARE #

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