Mark Stephen Green, PH.D., L.P. Valid NPI
Individual provider · Psychologist · Wichita, KS
- NPI
- 1033589569
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- 2354 (KS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-09-26
- Last updated
- 2015-09-26
Practice location
9415 E Harry St, Suite 703
Wichita, KS 67207-5089
(316) 978-6102