Whalio Doctors

NPI 1053508903

Valerie Ann Green, PHD

Practitioner Clinical Neuropsychologist Canon City, CO

Practice location

Address
1131 N 15th St, Canon City, CO 81212-4618
Phone
(719) 275-0595
Mailing address
PO Box 1138, Canon City, CO 81215-1138

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1327 (CO)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X

Registry record

NPI
1053508903
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Sep 2007
Record last updated
25 Sep 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.