Male or Other

Dr. Ben N. Green PHD

Clinical Psychologist in Madison, WI(View on Map)

Full Name

Dr. Ben Nmi Green PHD

NPI Number

1104882927

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/21/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Wisconsin
Wisconsin

License Number

1639-57
31440-020

Contact
Information

Purpose

Mailing
Location

Address

7617 MINERAL POINT RD
7617 MINERAL POINT RD

City

Madison
Madison

State

WI
WI

Postal Code

53717-1623
53717-1623

Country

US
US

Telephone Number

(608) 833-9290
(608) 833-9290

Identifiers

Identifier

39088700

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/19/2011

Provider Address

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