NPI 1033276431

William M Green, PHD

Practitioner Psychologist Coeur D Alene, ID

Practice location

Address: 401 1 2 Sherman Suite 206, Coeur D Alene, ID 83814-2777
Phone: (208) 765-1894
Fax: (208) 666-1598
Mailing address: PO Box 1209, Coeur D Alene, ID 83816-1209

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY310 (ID)

Other Psychologist providers in Idaho →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY14247 (CA)

Registry record

NPI: 1033276431
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.