Green, Robert A

Green, Robert A is an individual health care provider with primary practice located at 3363 Sheridan St Ste 209, Hollywood FL 33021-3664. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Green, Robert A can be contacted via phone (954) 961-9339.

Contact Information

Primary practice address
3363 Sheridan St Ste 209 Hollywood FL 33021-3664
Phone: (954) 961-9339
Fax: (954) 966-1857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY2864 Florida

Profile Details

NPI number 1467442236
LBN Legal business name Green, Robert A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
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 1467442236 NPPES
Florida Other 74283 BCBS

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